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 1805 College Dr , Baton Rouge LA 70808-1919. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), which is considered as the primary health care specialty. Our Lady Of The Lake Physician Group Llc can be contacted via phone (225) 923-3420, or through Richard, Jamy via phone (225) 526-0121.

Contact Information

Primary practice address
1805 College Dr Baton Rouge LA 70808-1919
Phone: (225) 923-3420
Fax: (225) 922-9316
Website:
Map and Directions
Authorized official contact:
Name: Richard, Jamy
Phone: (225) 526-0121

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Profile Details

NPI number 1235912502
LBN Legal business name Our Lady Of The Lake Physician Group Llc
DBA Doing business as
Authorized official Richard, Jamy
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 18th, 2023
Last updated Aug 18th, 2023 - about last year

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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