Dr PHILLIP ALLEN is a male medical professional, specializing in Otolaryngology. He graduated in 1997 from University Of Texas Medical School At San Antonio.
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
4950 ESSEN LN
SUITE 400
BATON ROUGE
LA
708093738
Tel: 2257651765
| Npi | 1538150701 |
| Pac Id | 1658496740 |
| Professional Enrollment Id | I20140310001910 |
| Last Name | ALLEN |
| First Name | PHILLIP |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1997 |
| Primary Specialty | OTOLARYNGOLOGY |
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| 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 | 4950 ESSEN LN |
| Line 2 Street Address | SUITE 400 |
| Marker Of Address Line 2 Suppression | |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 708093738 |
| Phone Number | 2257651765 |
| Hospital Affiliation Ccn 1 | 190064 |
| Hospital Affiliation Lbn 1 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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