Our Lake Of The Lake Head And Neck Ce in Baton Rouge - Specialist

Our Lake Of The Lake Head And Neck Ce - NPI 1619919271

Our Lake Of The Lake Head And Neck Ce is a Specialist in Baton Rouge, Louisiana. Our Lake Of The Lake Head And Neck Ce practices all healthcare services and medical treatments related to Specialist. The NPI Number for Our Lake Of The Lake Head And Neck Ce is 1619919271. The last update date is 2011-05-19.

Our Lake Of The Lake Head And Neck Ce's current location address is 8415 Goodwood Blvd, Baton Rouge, Louisiana. You can contact this provider via phone number 2257654361 and fax number 2257654062. The mailing address for Our Lake Of The Lake Head And Neck Ce is 8415 Goodwood Blvd, Baton Rouge, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Our Lake Of The Lake Head And Neck Ce
Address 8415 Goodwood Blvd, Baton Rouge, Louisiana
Phone Number 2257654361
Fax Number 2257654062
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name White Tamara
Telephone Number 2257654251

NPI Number Detail

NPI Number 1619919271
Provider Enumeration Date 2006-06-11
Last Updated Date 2011-05-19

Provider Mailing Address Detail

Address 8415 Goodwood Blvd
City Baton Rouge
State Louisiana (LA)
Post Code 708067851
Phone Number 2257654361
Fax Number 2257654062

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Our Lake Of The Lake Head And Neck Ce

What is the unique identifier code issued to Our Lake Of The Lake Head And Neck Ce by the Centers for Medicare & Medicaid Services?

The Our Lake Of The Lake Head And Neck Ce has been assigned the NPI (National Provider Identifier) 1619919271. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Our Lake Of The Lake Head And Neck Ce is geographically located?

The Our Lake Of The Lake Head And Neck Ce is physically situated at the following location: 8415 Goodwood Blvd, Baton Rouge, LA, 708067851.

What is Our Lake Of The Lake Head And Neck Ce's specialized field of practice, and what is the corresponding taxonomy classification code?

The Our Lake Of The Lake Head And Neck Ce's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

When was the Our Lake Of The Lake Head And Neck Ce's 1619919271 issued?

The Our Lake Of The Lake Head And Neck Ce's 1619919271 was issued on 2006-06-11.

As of what date were the details related to Our Lake Of The Lake Head And Neck Ce most recently updated or revised?

The information pertaining to Our Lake Of The Lake Head And Neck Ce, including its address, specialty, and other relevant details, was last updated or revised on 2011-05-19.

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