OUR LAKE OF THE LAKE HEAD AND NECK CE is a specialist in Baton Rouge, LA. The provider is 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. OUR LAKE OF THE LAKE HEAD AND NECK CE NPI is 1619919271. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
7777 HENNESSY BLVD
STE 409
BATON ROUGE, LA
ZIP 70808-300
Phone: (225) 765-1765
Fax: (225) 765-1768
The provider's authorized official is Tamara White .
The authorized official title is Director Of Business Services and has the following contact phone number (225) 765-4251.
The enumeration date for this NPI number is 6/11/2006 and was last updated on 5/19/2011.