Organization
HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
Active
Other names
LANE REGIONAL MEDICAL CENTER-LANE CANCER CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY R MEESE (CHIEF EXECUTIVE OFFICER)
(225) 658-4303
Entity
Organization
Contact information
Practice address
6180 MAIN ST, SUITE A, ZACHARY, LA 70791-4069
(225) 658-6692
(225) 658-6698
Mailing address
2335 CHURCH ST, SUITE E, ZACHARY, LA 70791-2700
(225) 654-3607
(225) 658-2262
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445126
—
LA
Enumeration date
02/27/2017
Last updated
01/26/2020
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