Organization
NORTHLAKE INTERVENTIONAL PAIN MANAGEMENT, LLC
Active
Organization
NORTHLAKE INTERVENTIONAL PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS N HERNANDEZ M.D. (OWNER)
(985) 690-8335
Entity
Organization
Contact information
Practice address
985 ROBERT BLVD, SUITE 105, SLIDELL, LA 70458-2063
(985) 690-8335
(985) 690-8334
Mailing address
PO BOX 54056, NEW ORLEANS, LA 70154-4056
(985) 690-8335
(985) 690-8334
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
LA
Other
Enumeration date
04/18/2008
Last updated
03/22/2012
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