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Organization

HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH

Active
Other names
Lane Regional Medical Center-Fastlane Zachary
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY R MEESE (CEO)
(225) 658-4303
Entity
Organization

Contact information

Practice address
19900 OLD SCENIC HWY, SUITE H/I, ZACHARY, LA 70791-7368
(225) 570-2618
(225) 570-8539
Mailing address
2335 CHURCH ST STE E, ZACHARY, LA 70791-2700
(225) 570-2489
(225) 570-2986

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1445126
LA
Enumeration date
03/22/2016
Last updated
01/26/2020
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