Organization · Type 2 NPI

Our Lake of the Lake Head and Neck Ce

Specialist · Baton Rouge, LA

NPI number 1619919271 Active

Practice location

7777 Hennessy Blvd, Ste 409
Baton Rouge, LA 70808-4300

Fax (225) 765-1768

Mailing address

8415 Goodwood Blvd, Ste 105
Baton Rouge, LA 70806-7851

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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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About NPI 1619919271

Our Lake of the Lake Head and Neck Ce's National Provider Identifier is 1619919271, issued on Jun 11, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Baton Rouge, LA. The record was last updated on May 19, 2011.