OUR LADY OF THE LAKE PHYSICIAN GROUP LLC is a hematology and oncology internal medicine in Baton Rouge, LA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. OUR LADY OF THE LAKE PHYSICIAN GROUP LLC NPI is 1184671455. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Olol Physician Surgical Specialty.
The provider's business location address is:
4950 ESSEN LN
BATON ROUGE, LA
ZIP 70809-738
Phone: (225) 767-1311
Fax: (225) 767-1335
The provider's authorized official is Tamara White .
The authorized official title is Director Of Business Services and has the following contact phone number (225) 765-5727.
The CLIA number assigned to this NPI record is 19D2127892 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/30/2006 and was last updated on 2/20/2013.