Dr MARY C RAVEN is a female medical professional, specializing in Internal Medicine. She graduated in 2004 from Louisiana State University School Of Medicine In New Orleans.
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD
BATON ROUGE
LA
708084300
Tel:
| Npi | 1427249366 |
| Pac Id | 2567536576 |
| Professional Enrollment Id | I20080808000129 |
| Last Name | RAVEN |
| First Name | MARY |
| Middle Name | C |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | HOSPICE/PALLIATIVE CARE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | HOSPICE/PALLIATIVE CARE |
| Organization Legal Name | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| Group Practice Pac Id | 4587849781 |
| Number Of Group Practice Members | 439 |
| Line 1 Street Address | 7777 HENNESSY BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 708084300 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 190064 |
| Hospital Affiliation Lbn 1 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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