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 1401 N Foster Dr , Baton Rouge LA 70806-1818. 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) 987-9095, or through Limbocker, Jeffrey D via phone (225) 765-8550.

Contact Information

Primary practice address
1401 N Foster Dr Baton Rouge LA 70806-1818
Fax: (225) 987-9096
Website:
Authorized official contact:
Name: Limbocker, Jeffrey D

Health care specialties

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

Profile Details

NPI number 1972052520
LBN Legal business name Our Lady Of The Lake Physician Group, Llc
DBA Doing business as
Authorized official Limbocker, Jeffrey D
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2016
Last updated Sep 23rd, 2016 - about 9 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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