Organization
OUR LADY OF THE LAKE HOSPITAL INC
Active
Other names
OLOL Neighborhood Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TERRIE STERLING (COO)
(225) 765-6898
Entity
Organization
Contact information
Practice address
9422 SCOTLAND AVE, BATON ROUGE, LA 70807-3951
(225) 774-1822
(225) 774-1836
Mailing address
8415 GOODWOOD BLVD, STE 105, BATON ROUGE, LA 70806-7851
(225) 765-4226
(225) 765-9244
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1949311
—
LA
Enumeration date
05/18/2006
Last updated
12/02/2008
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