# LANE RMC SERVICE CORP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LANE REGIONAL MEDICAL CENTER
- **Other names:** Lane After Hours
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407059801
- **Legal business name:** LANE REGIONAL MEDICAL CENTER
- **Authorized official:** RANDALL M OLSON (CEO)
- **Authorized official phone:** (225) 654-3607

## Contact information

- **Practice address:** 2335 CHURCH STREET, STE E, ZACHARY, LA 70791
- **Practice address phone:** (225) 654-3607
- **Practice address fax:** (225) 658-2262
- **Mailing address:** 2335 CHURCH STREET, STE E, ZACHARY, LA 70791
- **Mailing address phone:** (225) 654-3607
- **Mailing address fax:** (225) 658-2262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2007
- **Last updated:** 02/20/2008
