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Organization
HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
Active
Organization
HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
Active
Parent organization
HOSPITAL SERVICE DISTRICT 1 OF
Other names
LANE REGIONAL MEDICAL CENTER-LANE WOUND CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL SERVICE DISTRICT 1 OF
Authorized official
LARRY R MEESE (CHIEF EXECUTIVE OFFICER)
(225) 658-4303
Entity
Organization
Contact information
Practice address
4917 WEST PARK DRIVE, ZACHARY, LA 70791-4069
(225) 658-4110
(225) 658-4108
Mailing address
4917 WEST PARK DRIVE, ZACHARY, LA 70791-4069
(225) 658-4110
(225) 658-4108
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
LA
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
—
NULL
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
LA
Other
Enumeration date
05/29/2007
Last updated
02/14/2018
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