Organization
LAKESIDE WOMENS SERVICES LLC
Active
Parent organization
UNIVERSITY HEALTHCARE SYSTEM LC
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY HEALTHCARE SYSTEM LC
Authorized official
MR. ROBERT LAGESSE (VICE PRESIDENT)
(504) 988-7535
Entity
Organization
Contact information
Practice address
4700 S I 10 SERVICE RD W, SUITE 205, METAIRIE, LA 70001-1269
(504) 988-6872
(504) 988-6288
Mailing address
1415 TULANE AVE, HC71, NEW ORLEANS, LA 70112-2600
(504) 988-7535
(504) 988-6288
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06307864
—
MS
01
—
DG8660
RAILROAD MEDICARE
LA
Enumeration date
10/29/2007
Last updated
05/05/2008
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