Organization
HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
Active
Other names
LANE REGIONAL MEDICAL CENTER-BEHAVIORAL HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY R MEESE (CHIEF EXECUTIVE OFFICER)
(225) 658-4303
Entity
Organization
Contact information
Practice address
4801 MCHUGH RD STE A, ZACHARY, LA 70791-5364
(225) 658-6640
(225) 658-6653
Mailing address
2335 CHURCH ST STE E, ZACHARY, LA 70791-2700
(225) 654-3607
(225) 658-2262
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1445126
MEDICAID
LA
Enumeration date
08/30/2017
Last updated
06/16/2018
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