Organization
ORTHOPEDIC CARE CENTER OF LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES M. HARVEY (OFFICE ADMINISTRATOR)
(225) 926-3343
Entity
Organization
Contact information
Practice address
4550 NORTH BLVD, STE. 101, BATON ROUGE, LA 70806-4013
(225) 926-3343
(225) 926-8663
Mailing address
4550 NORTH BLVD, STE. 101, BATON ROUGE, LA 70806-4013
(225) 926-3343
(225) 926-8663
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LA15788R
LA
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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