OUR LADY OF THE LAKE PHYSICIAN GROUP LLC NPI 1174662035

NPI Information

OUR LADY OF THE LAKE PHYSICIAN GROUP LLC is a family medicine in New Roads, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OUR LADY OF THE LAKE PHYSICIAN GROUP LLC NPI is 1174662035. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

230 ROBERTS DR
SUITE H
NEW ROADS, LA
ZIP 70760-661
Phone: (225) 638-7033
Fax: (225) 638-7034

The provider's authorized official is Elona Sharbaugh .
The authorized official title is Vp Physician Practices and has the following contact phone number (225) 490-8806.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 12/10/2012.

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:

Other Identifiers

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