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Organization
OUR LAKE OF THE LAKE HOSPITAL INC
Active
Organization
OUR LAKE OF THE LAKE HOSPITAL INC
Active
Other names
OLOL Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAMARA C WHITE (DIRECTOR OF BUSINESS SERVICES)
(225) 765-4251
Entity
Organization
Contact information
Practice address
8415 GOODWOOD BLVD, SUITE 105, BATON ROUGE, LA 70806
(225) 765-4361
(225) 765-4062
Mailing address
8415 GOODWOOD BLVD, SUITE 105, BATON ROUGE, LA 70806
(225) 765-4361
(225) 765-4062
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
05/19/2011
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