Our Lake of the Lake Head and Neck Ce
Our Lake of the Lake Head and Neck Ce is a Specialist 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
Phone: (225) 765-1765
Fax: (225) 765-1768
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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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