Organization
OCHSNER CLINIC LLC
Active
Parent organization
OCHSNER CLINIC LLC
Other names
Ochsner CHRISTUS Health Center - Tybee Lane
Organization subpart
Yes
Provider details
NPI number
Legal business name
OCHSNER CLINIC LLC
Authorized official
EDUARDO BENITEZ (DIRECTOR)
(504) 842-6933
Entity
Organization
Contact information
Practice address
1960 TYBEE LN, LAKE CHARLES, LA 70605-4173
(337) 421-0090
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1798118
—
LA
Enumeration date
12/20/2018
Last updated
12/20/2018
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