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
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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