Organization
HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
Active
Other names
Lane Regional Medical Center - LANE ALLERGY ASTHMA AND IMMUNOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MEESE (CHIEF EXECUTIVE OFFICER)
(225) 658-4303
Entity
Organization
Contact information
Practice address
6110 MAIN ST STE C, ZACHARY, LA 70791-4079
(225) 658-4303
(225) 658-4287
Mailing address
6300 MAIN ST, ZACHARY, LA 70791-4037
(225) 658-4303
(225) 658-4287
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
207KA0200X
Allergy Physician
—
—
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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