OUR LADY OF THE LAKE PHYSICIAN GROUP LLC is a pediatric emergency medicine pediatrics in Baton Rouge, LA. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. OUR LADY OF THE LAKE PHYSICIAN GROUP LLC NPI is 1912282831. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Emergency Services.
The provider's business location address is:
7777 HENNESSY BLVD
STE 6002
BATON ROUGE, LA
ZIP 70808-300
Phone: (225) 765-7727
Fax: (225) 766-5645
The provider's authorized official is Jeffrey Limbocker .
The authorized official title is Cfo and has the following contact phone number (225) 765-7727.
The enumeration date for this NPI number is 10/12/2011 and was last updated on 10/12/2011.