| Our Lady Of The Lake Hospital Inc | |
|
8415 Goodwood Blvd Suite 105 Baton Rouge LA 70806-7851 | |
| (225) 765-5727 | |
| (225) 765-9244 |
| Full Name | Our Lady Of The Lake Hospital Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8415 Goodwood Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Jamy Richard (DIR OF REIMBURSEMENT AND FINANCE) |
| Authorized Official Contact | 2257654281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Lady Of The Lake Hospital Inc 8415 Goodwood Blvd Suite 105 Baton Rouge LA 70806-7851 Ph: (225) 765-5727 | Our Lady Of The Lake Hospital Inc 8415 Goodwood Blvd Suite 105 Baton Rouge LA 70806-7851 Ph: (225) 765-5727 |
| NPI Number | 1275577603 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 04/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275577603 | NPI | - | NPPES |
| 1941913 | Medicaid | LA | |
| CD9919 | Other | LA | RAILROAD MEDICARE (GROUP) |
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