OUR LADY OF THE LAKE PHYSICIAN GROUP, LLC

BATON ROUGE, LA
NPI1588062079
Entity TypeOrganization
Authorized ContactJEFFREY LIMBOCKER
CFO
225-765-8551
Organization Subpart ?Yes
Primary Taxonomy261QU0200X Clinic/Center, Urgent Care
Enumeration Date2014-12-15
Last Update Date2014-12-15
Business Address
OUR LADY OF THE LAKE PHYSICIAN GROUP, LLC
5439 AIRLINE HWY
BATON ROUGE, LA 70805-1712
Phone number: 225-358-4853
Mailing Address
OUR LADY OF THE LAKE PHYSICIAN GROUP, LLC
2051 SILVERSIDE DR SUITE 260
BATON ROUGE, LA 70808-9005
Phone number: 225-490-8808
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