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Organization
OUR LADY OF THE LAKE RMC
Active
Organization
OUR LADY OF THE LAKE RMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTELLE GRAVES B.S.R.R.T (DIRECTOR OF CLINICAL EDUCATION)
(225) 202-4578
Entity
Organization
Contact information
Practice address
1145 BEECHWOOD DR, HARVEY, LA 70058-4332
(504) 621-5247
Mailing address
1145 BEECHWOOD DR, HARVEY, LA 70058-4332
(504) 621-5247
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
LRT.000756
LA
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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