Organization

Lake Oliver Emergency Group, Llc

May also be knows as Capital Regional Medical Center Lake Jackson Er

Emergency Medicine Physician in Tallahassee, FL(View on Map)

Legal Business Name

Lake Oliver Emergency Group, Llc

Also Known As

Capital Regional Medical Center Lake Jackson Er

NPI Number

1457012940

NPI Type

Organization

Enumeration Date

01/06/2022

Specialties

(Taxonomies)

Contact
Information

Purpose

Mailing
Location

Address

200 CORPORATE BLVD
3157 N MONROE ST

City

Lafayette
Tallahassee

State

LA
FL

Postal Code

70508-3870
32303-2819

Country

US
US

Telephone Number

(337) 609-1153
(850) 692-0300

Authorized Official

Name

Lisha Falk

Title or Position

VP OF CONTRACTING

Telephone Number

(337) 609-1221

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/27/2022

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