Organization
PEDIATRIC MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVER ROY LAMBERT MD (PHYSICIAN)
(985) 651-7444
Entity
Organization
Contact information
Practice address
501 RUE DE SANTE, SUITE 9, LA PLACE, LA 70068-5400
(985) 651-7444
(985) 651-7449
Mailing address
501 RUE DE SANTE, SUITE 9, LA PLACE, LA 70068-5400
(985) 651-7444
(985) 651-7449
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
015291
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449369
—
LA
Enumeration date
12/27/2006
Last updated
07/16/2007
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