Our Lady of the Lake INC
NPI #1093767246 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1093767246
- Entity Type
- Organization
- Organization Name
- Our Lady of the Lake INC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 16, 2006
- Last Updated
- May 19, 2011
Practice Location
- Address
- 5000 HENNESSY BLVD
- Address 2
- HOSPITAL MEDICINE SERVICE
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70808-4375
- Phone
- (225) 765-4050
Authorized Official
- Name
- MS. TAMARA WHITE
- Title
- DIRECTOR OF BUSINESS SERVICES
- Phone
- (225) 765-4251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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