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 310 Durel Dr , New Roads LA 70760-2973. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Our Lady Of The Lake Physician Group Llc can be contacted via phone (225) 713-2400, or through Richard, Jamy via phone (225) 490-8801.
Contact Information
Primary practice address
310 Durel Dr
New Roads LA 70760-2973
Phone: (225) 713-2400
Fax: (225) 713-2405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP07361 | Louisiana |
Profile Details
| NPI number | 1447399308 |
|---|---|
| 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 | Feb 6th, 2007 |
| Last updated | Jul 28th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447399308 | NPPES |
| Louisiana | MEDICAID | 1447528 |
Popular Providers
-
Our Lady Of The Lake Physician Group Llc
230 Roberts Dr Suite H, New Roads LA 70760-2661 -
Lahasky Family Practice
520 N Lewis St # 203, New Iberia LA 70563-2094 -
New Roads Family Practice Llc
213 W Main St , New Roads LA 70760-3511 -
Louisiana Avenue Medical Center Inc
4301 Elysian Fields Avenue , New Orleans LA 70122-7404 -
Progressive Acute Care Physician Services Dauterive Llc
1100 Andre St Suite 101, New Iberia LA 70563-2159 -
Family Medicine Clinic
2309 East Main Street Suite 400, New Iberia LA 70560 -
Versailles Neighborhood Clinic
4657 Alcee Fortier Blvd Suite A, New Orleans LA 70129-2140 -
Our Lady Of The Lake Physician Group Llc
230 Roberts Dr Suite B, New Roads LA 70760-2661