Our Lady of the Lake Rmc

NPI #1104244078 in Harvey, Louisiana

Provider Information

NPI Number
1104244078
Entity Type
Organization
Organization Name
Our Lady of the Lake Rmc
Primary Specialty
General Acute Care Hospital
Enumeration Date
Mar 28, 2014
Last Updated
Mar 28, 2014

Practice Location

Address
1145 BEECHWOOD DR
City
Harvey
ZIP Code
70058-4332
Phone
(504) 621-5247

Authorized Official

Name
SHANTELLE GRAVES, B.S.R.R.T
Title
DIRECTOR OF CLINICAL EDUCATION
Phone
(225) 202-4578

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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