Our Lady Of The Lake Regional Medical Center

NPI 1235263724 - Pediatrics - 2080P0214X

NPI Details
NPI 1235263724
Enumeration Date 03/15/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DAVID E DAVID
Position PHYSICIAN
Phone (225) 765-4361
Fax (225) 765-4062
Practice Location
8415 GOODWOOD BLVD
SUITE 105
BATON ROUGE LA, 70806-7851, US
Phone (225) 765-4361
Fax (225) 765-4062
Business Location
7777 HENNESSY BLVD
PLAZE 1 STE 406
BATON ROUGE LA, 70808-4300, US
Phone (225) 765-3456
Fax (225) 765-1899
Toxanomy
Taxonomy Code 2080P0214X
License State
License Number
Remove 1235263724 NPI Number
 

According to our database, Our Lady Of The Lake Regional Medical Center NPI is 1235263724, taxonomy code is 2080P0214X Our Lady Of The Lake Regional Medical Center physically located at 8415 Goodwood Blvd, Baton Rouge LA, 70806-7851. NPI Number 1033115704 has the healthcare provider type.

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1235263724 NPI number is provided on an as is basis without warranty of any kind. 1235263724 is maintained by the National Plan & Provider Enumeration System. The contents of Our Lady Of The Lake Regional Medical Center are for informational purposes only.