NORTHLAKE INTERVENTIONAL PAIN MANAGEMENT, LLC

SLIDELL, LA
NPI1306010566
Entity TypeOrganization
Authorized ContactLUIS N HERNANDEZ
Owner
985-690-8335
Organization Subpart ?No
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
Enumeration Date2008-04-18
Last Update Date2012-03-22
Business Address
NORTHLAKE INTERVENTIONAL PAIN MANAGEMENT, LLC
985 ROBERT BLVD SUITE 105
SLIDELL, LA 70458-2063
Phone number: 985-690-8335
Mailing Address
NORTHLAKE INTERVENTIONAL PAIN MANAGEMENT, LLC
PO BOX 54056
NEW ORLEANS, LA 70154-4056
Phone number: 985-690-8335