Organization
OUR LADY OF THE LAKE INC
Active
Other names
Hospital Medicine Service
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA WHITE (DIRECTOR OF BUSINESS SERVICES)
(225) 765-4251
Entity
Organization
Contact information
Practice address
5000 HENNESSY BLVD, HOSPITAL MEDICINE SERVICE, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Mailing address
5000 HENNESSY BLVD, HOSPITAL MEDICINE SERVICE, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445479
—
LA
Enumeration date
05/16/2006
Last updated
05/19/2011
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