Our Lady of the Lake Hospital INC

NPI #1275577603 in Baton Rouge, Louisiana

Provider Information

NPI Number: 1275577603
Entity Type: Organization
Organization Name: Our Lady of the Lake Hospital INC
Subpart: Yes (part of a larger organization)
Parent Organization: OUR LADY OF THE LAKE HOSPITAL INC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 15, 2006
Last Updated: Apr 15, 2011

Practice Location

Address: 8415 GOODWOOD BLVD
Address 2: SUITE 105
City: Baton Rouge
State: Louisiana
ZIP Code: 70806-7851
Phone: (225) 765-5727

Authorized Official

Name: MS. JAMY RICHARD
Title: DIR OF REIMBURSEMENT AND FINANCE
Phone: (225) 765-4281

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine - Geriatric Medicine — Geriatric Medicine	207RG0300X
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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