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 1356480214. 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 B
NEW ROADS, LA
ZIP 70760-661
Phone: (225) 638-8661
Fax: (225) 638-2977
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 CLIA number assigned to this NPI record is 19D2083617 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/6/2007 and was last updated on 12/10/2012.