Provider Demographics
NPI:1013899541
Name:LOUISIANA OPPORTUNITY ZONE FUND
Entity type:Organization
Organization Name:LOUISIANA OPPORTUNITY ZONE FUND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:LANDRY
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:225-304-6476
Mailing Address - Street 1:9373 BARINGER FOREMAN RD BLDG 2
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-6200
Mailing Address - Country:US
Mailing Address - Phone:225-304-6476
Mailing Address - Fax:225-755-2147
Practice Address - Street 1:9373 BARINGER FOREMAN RD BLDG 2
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-6200
Practice Address - Country:US
Practice Address - Phone:225-304-6476
Practice Address - Fax:225-755-2147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory