Northlake Gastroenterology

NPI #1861484842 in Hammond, Louisiana

Provider Information

NPI Number: 1861484842
Entity Type: Organization
Organization Name: Northlake Gastroenterology
Primary Specialty: Specialist
Enumeration Date: Aug 17, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 16061 DOCTORS BLVD
Address 2: SUITE B
City: Hammond
State: Louisiana
ZIP Code: 70403-1479
Phone: (985) 542-1334

Authorized Official

Name: MR. ROY HOLDER
Title: ADMINISTRATOR
Phone: (985) 542-1334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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