Our Lake of the Lake Head and Neck Ce
Our Lake of the Lake Head and Neck Ce provides Specialist services in Baton Rouge, Louisiana. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
7777 Hennessy Blvd Ste 409Baton Rouge, LA 70808-4300 Not confirmed with CMS for 15 years — call before visiting
Phone: (225) 765-1765
Fax: (225) 765-1768
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1619919271 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tamara White — Director Of Business Services · (225) 765-4251 |
| NPI enumerated | June 11, 2006 |
| Last updated in NPPES | May 19, 2011 |
| Mailing address | 8415 Goodwood Blvd, Ste 105, Baton Rouge, LA 70806-7851 |
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