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 5439 Airline Hwy , Baton Rouge LA 70805-1712. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Our Lady Of The Lake Physician Group, Llc can be contacted via phone (225) 358-4853, or through Limbocker, Jeffrey via phone (225) 765-8551.

Contact Information

Primary practice address
5439 Airline Hwy Baton Rouge LA 70805-1712
Phone: (225) 358-4853
Fax: (225) 358-2350
Website:
Map and Directions
Authorized official contact:
Name: Limbocker, Jeffrey
Phone: (225) 765-8551

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1588062079
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 Yes
Enumeration date Dec 15th, 2014
Last updated Dec 15th, 2014 - about 11 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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