| NPI | 1972645216 |
|---|---|
| Doing Business As | OUR LADY OF THE LAKE HOSPITAL INC PEDIATRIC PULMONARY CLINIC |
| Entity Type | Organization |
| Authorized Contact | TAMARA WHITE Director Of Business Services 225-765-4251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2011-05-19 |