Our Lady Of The Lake Inc
May also be knows as Hospital Medicine Service
Internal Medicine Physician in Baton Rouge, LA(View on Map)
Legal Business Name
Our Lady Of The Lake Inc
Also Known As
Hospital Medicine Service
NPI Number
1093767246
NPI Type
Organization
Enumeration Date
05/16/2006
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
5000 HENNESSY BLVD
5000 HENNESSY BLVD
City
Baton Rouge
Baton Rouge
State
LA
LA
Postal Code
70808-4375
70808-4375
Country
US
US
Telephone Number
(225) 765-4050
(225) 765-4050
Authorized Official
Name
Ms. Tamara White
Title or Position
DIRECTOR OF BUSINESS SERVICES
Telephone Number
(225) 765-4251
Identifiers
Identifier
1445479
Identifier State
LA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/19/2011
Provider Address
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