OUR LADY OF THE LAKE PHYSICIAN GROUP, LLC is an urgent care clinic center in Baton Rouge, LA. OUR LADY OF THE LAKE PHYSICIAN GROUP, LLC NPI is 1588062079. The provider is registered as an organization entity type.
The provider's business location address is:
5439 AIRLINE HWY
BATON ROUGE, LA
ZIP 70805-712
Phone: (225) 358-4853
Fax: (225) 358-2350
The provider's authorized official is Jeffrey Limbocker .
The authorized official title is Cfo and has the following contact phone number (225) 765-8551.
The enumeration date for this NPI number is 12/15/2014 and was last updated on 12/15/2014.