Organization
NORTHLAKE ENDOSCOPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENE PIERSON (OFFICE MANAGER)
(985) 542-1334
Entity
Organization
Contact information
Practice address
16061 DOCTORS BLVD, SUITE A, HAMMOND, LA 70403-1479
(985) 542-1334
(985) 318-1004
Mailing address
16061 DOCTORS BLVD, SUITE A, HAMMOND, LA 70403-1479
(985) 542-1334
(985) 318-1004
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
LA
Other
Enumeration date
08/15/2005
Last updated
07/21/2022
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