Organization
ST. LUKES EPISCOPAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGGIE MICHAEL HOLLIER CRNA (CRNA)
(337) 224-1768
Entity
Organization
Contact information
Practice address
905 POYDRAS HWY, BREAUX BRIDGE, LA 70517-7512
(337) 224-1768
Mailing address
905 POYDRAS HWY, BREAUX BRIDGE, LA 70517-7512
(337) 224-1768
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
RN107735
LA
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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