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 1972052520. The provider is registered as an organization entity type.
The provider's business location address is:
1401 N FOSTER DR
BATON ROUGE, LA
ZIP 70806-818
Phone: (225) 987-9095
Fax: (225) 987-9096
The provider's authorized official is Jeffrey D Limbocker .
The authorized official title is Regional Cfo and has the following contact phone number (225) 765-8550.
The CLIA number assigned to this NPI record is 19D1103464 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/23/2016 and was last updated on 9/23/2016.