Organization
NORTHLAKE REHAB PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDOLPH L ROIG M.D. (OWNER)
(985) 345-0033
Entity
Organization
Contact information
Practice address
2101 ROBIN AVE, HAMMOND, LA 70403-5772
(985) 345-0033
(985) 345-1199
Mailing address
2101 ROBIN AVE, HAMMOND, LA 70403-5773
(985) 345-0033
(985) 345-1199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
09912R
LA
363LG0600X
Gerontology Nurse Practitioner
AP04607
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1625345
—
LA
05
—
1680818
—
LA
Enumeration date
03/14/2006
Last updated
04/01/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us