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OUR LADY OF THE LAKE HOSPITAL INC NPI 1275577603


NPI Information

NPI: 1275577603
Provider Name: OUR LADY OF THE LAKE HOSPITAL INC

Doing Business As: LAKE PRIMARY CARE PHYSICIANS

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
8415 GOODWOOD BLVD
SUITE 105
BATON ROUGE, LA
ZIP 70806
Phone: (225) 765-5727
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OUR LADY OF THE LAKE HOSPITAL INC is an internal medicine in Baton Rouge, LA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. OUR LADY OF THE LAKE HOSPITAL INC NPI is 1275577603. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lake Primary Care Physicians.

The provider's business location address is:

8415 GOODWOOD BLVD
SUITE 105
BATON ROUGE, LA
ZIP 70806-851
Phone: (225) 765-5727
Fax: (225) 765-9244

The provider's authorized official is Jamy Richard .
The authorized official title is Dir Of Reimbursement And Finance and has the following contact phone number (225) 765-4281.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 4/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207RG0300XInternal MedicineGeriatric MedicineNo
3208000000XPediatricsNo
4207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15D279MEDICARE PINLOUISIANA
21941913MEDICAIDLOUISIANA
3CD9919OTHERLOUISIANARAILROAD MEDICARE (GROUP)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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