# LAKESIDE WOMENS SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY HEALTHCARE SYSTEM LC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518146497
- **Legal business name:** UNIVERSITY HEALTHCARE SYSTEM LC
- **Authorized official:** MR. ROBERT LAGESSE (VICE PRESIDENT)
- **Authorized official phone:** (504) 988-7535

## Contact information

- **Practice address:** 4700 S I 10 SERVICE RD W, SUITE 205, METAIRIE, LA 70001-1269
- **Practice address phone:** (504) 988-6872
- **Practice address fax:** (504) 988-6288
- **Mailing address:** 1415 TULANE AVE, HC71, NEW ORLEANS, LA 70112-2600
- **Mailing address phone:** (504) 988-7535
- **Mailing address fax:** (504) 988-6288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2007
- **Last updated:** 05/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 06307864 | — | MS |
| 01 | — | DG8660 | RAILROAD MEDICARE | LA |