| Our Lady Of The Lake | |
|
7777 Hennessy Blvd Suite 6000 Baton Rouge LA 70808-4300 | |
| (225) 765-8648 | |
| (225) 765-7898 |
| Full Name | Our Lady Of The Lake |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 7777 Hennessy Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Tamara White (DIRECTOR OF BUSINESS SERVICES) |
| Authorized Official Contact | 2257654251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Lady Of The Lake 7777 Hennessy Blvd Suite 6000 Baton Rouge LA 70808-4300 Ph: (225) 765-8648 | Our Lady Of The Lake 7777 Hennessy Blvd Suite 6000 Baton Rouge LA 70808-4300 Ph: (225) 765-8648 |
| NPI Number | 1851391148 |
|---|---|
| Provider Enumeration Date | 07/28/2005 |
| Last Update Date | 05/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851391148 | NPI | - | NPPES |
| 03085883 | Medicaid | MS | |
| 1446751 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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