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Organization

HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH

Active
Other names
Lane Regional Medical Center- Lane ENT Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY R MEESE (CHIEF EXECUTIVE OFFICER)
(225) 658-4304
Entity
Organization

Contact information

Practice address
6110 MAIN ST, SUITE D, ZACHARY, LA 70791-4033
(225) 286-4847
(225) 286-4033
Mailing address
2335 CHURCH ST, SUITE E, ZACHARY, LA 70791-2700
(225) 570-2489
(225) 570-2986

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
05/05/2017
Last updated
01/26/2020
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