Organization
HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
Active
Parent organization
HOSPITAL SERVICE 1 OF EAST BATON ROUGE PARISH
Other names
Lane Regional Medical Center-Lane Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL SERVICE 1 OF EAST BATON ROUGE PARISH
Authorized official
FRANK A CORCORAN (CHIEF EXECUTIVE OFFICER)
(225) 658-4303
Entity
Organization
Contact information
Practice address
2335 CHURCH ST STE B, ZACHARY, LA 70791-2700
(225) 654-3607
(225) 658-2262
Mailing address
6300 MAIN ST, ZACHARY, LA 70791-4037
(225) 658-4000
(225) 658-4505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445126
—
LA
Enumeration date
04/19/2007
Last updated
03/11/2025
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