Organization
OUR LAKE OF THE LAKE HOSPITAL INC
Active
Other names
OLOL Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAMARA C WHITE (DIRECTOR OF BUSINESS SERVICES)
(225) 765-4251
Entity
Organization
Contact information
Practice address
8415 GOODWOOD BLVD, SUITE 105, BATON ROUGE, LA 70806
(225) 765-4361
(225) 765-4062
Mailing address
8415 GOODWOOD BLVD, SUITE 105, BATON ROUGE, LA 70806
(225) 765-4361
(225) 765-4062
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
05/19/2011
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