| NPI | 1538579032 |
|---|---|
| Doing Business As | NORTHLAKE SURGICAL ASSOCIATES AT ST. TAMMANY PARISH HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | JOAN COFFMAN President/CEO 985-898-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2022-12-06 |