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1306010566
NORTHLAKE INTERVENTIONAL PAIN MANAGEMENT, LLC
SLIDELL, LA
NPI
1306010566
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Entity Type
Organization
Authorized Contact
LUIS N HERNANDEZ
Owner
985-690-8335
Organization Subpart ?
No
Primary Taxonomy
208VP0014X Pain Medicine, Interventional Pain Medicine
Enumeration Date
2008-04-18
Last Update Date
2012-03-22
Business Address
NORTHLAKE INTERVENTIONAL PAIN MANAGEMENT, LLC
985 ROBERT BLVD SUITE 105
SLIDELL, LA 70458-2063
Phone number: 985-690-8335
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Mailing Address
NORTHLAKE INTERVENTIONAL PAIN MANAGEMENT, LLC
PO BOX 54056
NEW ORLEANS, LA 70154-4056
Phone number: 985-690-8335
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