Our Lake of the Lake Hospital INC
NPI #1356483515 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1356483515
- Entity Type
- Organization
- Organization Name
- Our Lake of the Lake Hospital INC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Feb 13, 2007
- Last Updated
- May 19, 2011
Practice Location
- Address
- 8415 GOODWOOD BLVD
- Address 2
- SUITE 105
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70806
- Phone
- (225) 765-4361
Authorized Official
- Name
- MR. TAMARA C WHITE
- Title
- DIRECTOR OF BUSINESS SERVICES
- Phone
- (225) 765-4251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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