LAKE INTERNAL MEDICINE AT HENNESSY
NPI 1952475311
Non-Pharmacy Dispensing Site in Baton Rouge, LA

Active since November 20, 2006
7777 HENNESSY BLVD, STE 7000, BATON ROUGE, LA 70808(225) 765-8829(225) 765-8283 Get Directions Write a Review

NPPES record last updated: November 21, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Internal Medicine At Hennessy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE INTERNAL MEDICINE AT HENNESSY (NPI 1952475311) is a healthcare organization registered as a non-pharmacy dispensing site in Baton Rouge, Louisiana and active in the NPI registry since November 2006. The organization lists Myrtha Avants, Sr Region Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1952475311
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameLEO BLAIZE III MD
Location Address7777 HENNESSY BLVD, STE 7000Baton Rouge, LA 70808-4300
Mailing Address7777 Hennessy Blvd, Ste 7000Baton Rouge, LA 70808-4300
Fax(225) 765-8283
Organization SubpartNo
Authorized OfficialMyrtha AvantsSr Region Operations Manager · (225) 202-8078
Enumeration DateNovember 20, 2006
Last NPPES UpdateNovember 21, 2007
NPI 1952475311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in LA · 015394
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
7777 HENNESSY BLVD, Baton Rouge, LA 70808

Other Names 1

Doing Business AsLake Internal Medicine At Hennessy

Other Identifiers 2

Other1932943Other Id Number-commercial Number
Other1932943Other Id Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
7777 HENNESSY BLVD, SUITE 301
BATON ROUGE, LA 70808
Nurse Practitioner
7777 HENNESSY BLVD, SUITE 1000
BATON ROUGE, LA 70808
Nurse Practitioner (Acute Care)
7777 HENNESSY BLVD, SUITE 701
BATON ROUGE, LA 70808
Durable Medical Equipment & Medical Supplies
7777 HENNESSY BLVD, SUITE 5000
BATON ROUGE, LA 70808
Surgery
7777 HENNESSY BLVD, SUITE 612
BATON ROUGE, LA 70808
Physician Assistant
7777 HENNESSY BLVD, OUR LADY OF THE LAKE MED CNTR -- ER DEPT
BATON ROUGE, LA 70808
Surgery
7777 HENNESSY BLVD, SUITE 612
BATON ROUGE, LA 70808
Nurse Anesthetist, Certified Registered
7777 HENNESSY BLVD, SUITE 301
BATON ROUGE, LA 70808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leo Blaize III MD's NPI number?

The NPI number for Leo Blaize III MD is 1952475311. It was assigned to this organization in the NPPES registry on November 20, 2006. The provider is doing business as Lake Internal Medicine At Hennessy.

Where is Leo Blaize III MD located?

Leo Blaize III MD is located at 7777 Hennessy Blvd Ste 7000, Baton Rouge, LA 70808. The listed phone number is (225) 765-8829.

What is Leo Blaize III MD's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Leo Blaize III MD was last updated on November 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.