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1588062079
OUR LADY OF THE LAKE PHYSICIAN GROUP, LLC
BATON ROUGE, LA
NPI
1588062079
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Entity Type
Organization
Authorized Contact
JEFFREY LIMBOCKER
CFO
225-765-8551
Organization Subpart ?
Yes
Primary Taxonomy
261QU0200X Clinic/Center, Urgent Care
Enumeration Date
2014-12-15
Last Update Date
2014-12-15
Business Address
OUR LADY OF THE LAKE PHYSICIAN GROUP, LLC
5439 AIRLINE HWY
BATON ROUGE, LA 70805-1712
Phone number: 225-358-4853
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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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