Organization
PONTCHARTRAIN SURGERY CENTER, LLC
Active
Other names
Pontchartrain Surgery Center, LLC, Our Lady of the Lake Pontchartrain Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SALMON RN (ADMINISTRATOR)
(985) 234-9700
Entity
Organization
Contact information
Practice address
4407 HIGHWAY 190 EAST SERVICE RD, STE 200, COVINGTON, LA 70433-4957
(985) 234-9700
(985) 234-9706
Mailing address
4407 HIGHWAY 190 EAST SERVICE RD STE 200, COVINGTON, LA 70433-4972
(985) 234-9700
(985) 234-9706
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
157
LA
Other
Enumeration date
11/27/2012
Last updated
10/28/2025
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