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Organization

OUR LADY OF THE LAKE ORAL SURGERY CLINIC

Active
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Organization

OUR LADY OF THE LAKE ORAL SURGERY CLINIC

Active
Parent organization
OUR LADY OF THE LAKE HOSPITAL, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
OUR LADY OF THE LAKE HOSPITAL, INC.
Authorized official
MR. ROBERT D RAMSEY JR. (CFO)
(225) 765-8967
Entity
Organization

Contact information

Practice address
7777 HENNESSY BLVD, SUITE 1004, BATON ROUGE, LA 70808-4300
(225) 765-8551
Mailing address
7777 HENNESSY BLVD, SUITE 1004, BATON ROUGE, LA 70808-4300

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—

Other

Enumeration date
11/21/2007
Last updated
11/21/2007
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