| Organization Name: | WOMENS & CHILDRENS PEDIATRIC HEMATOLOGY - ONCOLOGY CENTER LLC |
| NPI Number: | 1013126408 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT J. LAGESSE (VICE PRESIDENT) |
| Mailing Address: | 4630 Ambassador Caffery Pkwy Suite 414 Lafayette |
| State: | LA US |
| Postal Code: | 705086949 |
| Phone Number: | 3375219239 |
| Fax Number: | 3375219268 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 10/04/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080P0207X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Pediatric Hematology-Oncology |
| Taxonomy Definition: | A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |