Our Lady Of The Lake Physician Group Llc

LBN: Our Lady Of The Lake Physician Group Llc
Our Lady Of The Lake Physician Group Llc is an health care organization with primary practice located at 7777 Hennessy Blvd Ste 6002, Baton Rouge LA 70808-4300. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Our Lady Of The Lake Physician Group Llc can be contacted via phone (225) 765-7727, or through Limbocker, Jeffrey via phone (225) 765-7727.

Contact Information

Primary practice address
7777 Hennessy Blvd Ste 6002 Baton Rouge LA 70808-4300
Phone: (225) 765-7727
Fax: (225) 766-5645
Website:
Map and Directions
Authorized official contact:
Name: Limbocker, Jeffrey
Phone: (225) 765-7727

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1033494943
LBN Legal business name Our Lady Of The Lake Physician Group Llc
DBA Doing business as
Authorized official Limbocker, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2011
Last updated Oct 8th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033494943 NPPES
Louisiana MEDICAID 2305042

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