OUR LADY OF THE LAKE PHYSICIAN GROUP, LLC

BATON ROUGE, LA
NPI1972052520
Entity TypeOrganization
Authorized ContactJEFFREY D LIMBOCKER
Regional CFO
225-765-8550
Organization Subpart ?No
Primary Taxonomy261QU0200X Clinic/Center, Urgent Care
Enumeration Date2016-09-23
Last Update Date2016-09-23
Business Address
OUR LADY OF THE LAKE PHYSICIAN GROUP, LLC
1401 N FOSTER DR
BATON ROUGE, LA 70806-1818
Phone number: 225-987-9095
Mailing Address
OUR LADY OF THE LAKE PHYSICIAN GROUP, LLC
5000 HENNESSY BLVD
BATON ROUGE, LA 70808-4375
Phone number: 225-765-4281
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