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Organization

LANE RMC SERVICE CORP

Active
Parent organization
LANE REGIONAL MEDICAL CENTER
Other names
Lane After Hours
Organization subpart
Yes

Provider details

NPI number
Legal business name
LANE REGIONAL MEDICAL CENTER
Authorized official
RANDALL M OLSON (CEO)
(225) 654-3607
Entity
Organization

Contact information

Practice address
2335 CHURCH STREET, STE E, ZACHARY, LA 70791
(225) 654-3607
(225) 658-2262
Mailing address
2335 CHURCH STREET, STE E, ZACHARY, LA 70791
(225) 654-3607
(225) 658-2262

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H7716
BLUE CROSS LA
LA
Enumeration date
06/06/2007
Last updated
02/20/2008
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