Organization
OUR LADY OF THE LAKE ORAL SURGERY CLINIC
Active
Parent organization
OUR LADY OF THE LAKE HOSPITAL, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR LADY OF THE LAKE HOSPITAL, INC.
Authorized official
MR. ROBERT D RAMSEY JR. (CFO)
(225) 765-8967
Entity
Organization
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 1004, BATON ROUGE, LA 70808-4300
(225) 765-8551
Mailing address
7777 HENNESSY BLVD, SUITE 1004, BATON ROUGE, LA 70808-4300
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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