Organization
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER
Active
Other names
Our Lady of the Lake Hospital Inc Pediatric Pulmonary Clinic Sleep Lab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E THOMAS M.D. (PHYSICIAN)
(225) 765-3456
Entity
Organization
Contact information
Practice address
8415 GOODWOOD BLVD, SUITE 105, BATON ROUGE, LA 70806-7851
(225) 765-4361
(225) 765-4062
Mailing address
7777 HENNESSY BLVD, PLAZE 1 STE 406, BATON ROUGE, LA 70808-4300
(225) 765-3456
(225) 765-1899
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445584
—
LA
Enumeration date
03/15/2007
Last updated
08/22/2020
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