OUR LADY OF THE LAKE PHYSICIAN GROUP LLC NPI 1356643399

NPI Information

OUR LADY OF THE LAKE PHYSICIAN GROUP LLC is a cardiovascular disease internal medicine in Baton Rouge, LA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. OUR LADY OF THE LAKE PHYSICIAN GROUP LLC NPI is 1356643399. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lake Physician Group Cardiology Ser.

The provider's business location address is:

8415 GOODWOOD BLVD
STE 105
BATON ROUGE, LA
ZIP 70806-851
Phone: (225) 765-5727
Fax: (225) 765-4278

The provider's authorized official is Elona Sharbaugh .
The authorized official title is Vp Physician Practices and has the following contact phone number (225) 765-8680.

The enumeration date for this NPI number is 11/24/2010 and was last updated on 11/24/2010.

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:

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