Provider Demographics
NPI:1053356998
Name:LOUISIANA SLEEP FOUNDATION, LLC
Entity type:Organization
Organization Name:LOUISIANA SLEEP FOUNDATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:J. KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWAB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:225-767-8550
Mailing Address - Street 1:4660 BLUEBONNET BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-9632
Mailing Address - Country:US
Mailing Address - Phone:225-767-8550
Mailing Address - Fax:225-767-8556
Practice Address - Street 1:4660 BLUEBONNET BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-9632
Practice Address - Country:US
Practice Address - Phone:225-767-8550
Practice Address - Fax:225-767-8556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA=========0OtherBCBS OF LOUISIANA
LA=========AOtherBCBS OF LOUISIANA
LA=========0OtherBCBS OF LOUISIANA
LA=========0OtherBCBS OF LOUISIANA