Daniel Kevin Lavie (NPI# 1023374659, PAC ID# 8426285255) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1023374659 |
| PAC ID by PECOS | 8426285255 |
| Professional Enrollment ID | I20131226000074 |
| Full Name | Daniel Kevin Lavie |
| Organization Legal Name | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| Address |
4950 Essen Ln Suite 400 Baton Rouge LA 70809-3738 |
| Phone Number | 2257651765 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2012 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 4587849781 |
| Number of Group Practice Members | 474 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738 | 2257651765 | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| Organization Legal Name | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| Physicians | 443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Michael Robinson | Family Medicine | Our Lady of The Lake Physician Group LLC | 12525 Perkins Rd A, Baton Rouge, LA 70810-1907 |
| Kori Fogg Juban | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 34870 La Hwy 1019, Denham Springs, LA 70706-0659 |
| Michelle Duhe | Family Medicine | Our Lady of The Lake Physician Group LLC | 26739 La Hwy 1032, Denham Springs, LA 70726-4926 |
| Swapna G Kallu | Internal Medicine | Our Lady of The Lake Physician Group LLC | 214 Clinic Dr, Donaldsonville, LA 70346-4309 |
| Montrell Martin-duhe | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 4463 La Hwy 1 S A, Port Allen, LA 70767-5990 |
| Joshua R Clark | Family Medicine | Our Lady of The Lake Physician Group LLC | 59315 River W Dr, Suite C, Plaquemine, LA 70764-6553 |
| Hollie B Ortis | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 13489 Hwy 431, Suite A, Saint Amant, LA 70774-3213 |
| Shantan Ravula | Family Medicine | Our Lady of The Lake Physician Group LLC | 14225 Hwy 73, Prairieville, LA 70769-3616 |
| Sheri A Ammons | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 5428 Odonovan Dr B, Baton Rouge, LA 70808-4374 |
| Sharon Jackson | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 5247 Didesse Dr, Baton Rouge, LA 70808-9153 |
| Street Address |
4950 ESSEN LN SUITE 400 |
| City | BATON ROUGE |
| State | LA |
| Zip | 70809-3738 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Bourgeois Iii | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
| David S Hanson | Hematology/oncology | Our Lady of The Lake Physician Group LLC | 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738 |
| Dustin David Denicola | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738 |
| Sonia Vidrine Normand | Physical Therapy | Our Lady of The Lake Physician Group LLC | 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738 |
| Jingya Wang | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
| Maurice L King | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
| Lauren A Zatarain | Hematology/oncology | Our Lady of The Lake Physician Group LLC | 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738 |
| Katherine O Castle | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
| Ghenet Ghebretatios | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738 |
| Carrie Perry | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Dupre | General Surgery | 8595 Picardy Ave, Suite 235, Baton Rouge, LA 70809-0610 | |
| Shaban Faruqui | Gastroenterology | Baton Rouge General Medical Center | 8595 Picardy Ave, Suite 235, Baton Rouge, LA 70809-0610 |
| Jill H Fruge | Internal Medicine | Our Lady of The Lake Physician Group LLC | 7855 Jefferson Hwy, Baton Rouge, LA 70809-1206 |
| Mark C Shoptaugh Jr. | Psychiatry | 7865 Jefferson Hwy, Suite D, Baton Rouge, LA 70809-1384 | |
| David E Thomas | Sleep Medicine | 2355 Drusilla Ln, Baton Rouge, LA 70809-1443 | |
| Richard Gaynor | Internal Medicine | 2320 Drusilla Ln, Suite B, Baton Rouge, LA 70809-1495 | |
| Betty Armstrong | Clinical Social Worker | 8017 Jefferson Hwy B1, Baton Rouge, LA 70809-1681 | |
| Steven K Bordelon | Clinical Social Worker | 8017 Jefferson Hwy, Suite B4, Baton Rouge, LA 70809-1681 | |
| Patricia A Godfrey | Clinical Social Worker | 8017 Jefferson Hwy, Suite B1, Baton Rouge, LA 70809-1681 | |
| Adrian A Agosta | Clinical Social Worker | 7940 Wrenwood Blvd, Apt G, Baton Rouge, LA 70809-1766 | |
| Find all physicians in zip 70809 | |||
| City | BATON ROUGE |
| Zip Code | 70809 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | BATON ROUGE + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Daniel Kevin Lavie.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.