Organization
COLUMBIA HEALTHCARE SYSTEMS OF LA, INC
Active
Other names
Columbia Healthcare Systems of LA, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT R LAGESSE (VP)
(318) 325-5661
Entity
Organization
Contact information
Practice address
3418 MEDICAL PARK DR, STE 3, MONROE, LA 71203-2376
(318) 325-5661
Mailing address
3418 MEDICAL PARK DR, STE 3, MONROE, LA 71203-2376
(318) 325-5661
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5CQ93
MEDICARE GROUP NUMBER
LA
Enumeration date
05/25/2006
Last updated
09/20/2007
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