OLOL PONTCHARTRAIN SURGERY CENTER, LLC is an ambulatory surgical clinic center in Covington, LA. OLOL PONTCHARTRAIN SURGERY CENTER, LLC NPI is 1497090740. The provider is registered as an organization entity type.
The provider Is Doing Business As Our Lady Of The Lake Pontchartrain Surgery Center.
The provider's business location address is:
4407 HIGHWAY 190 EAST SERVICE RD
STE 200
COVINGTON, LA
ZIP 70433-957
Phone: (985) 234-9700
Fax: (985) 234-9706
The provider's authorized official is Jenetha D Moran .
The authorized official title is Authorized Official and has the following contact phone number (972) 763-3893.
The CLIA number assigned to this NPI record is 19D1081119 - ambulance with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/27/2012 and was last updated on 9/6/2017.