| Our Lady Of The Lake Physician Group Llc | |
|
310 Durel Dr New Roads LA 70760-2973 | |
| (225) 713-2400 | |
| (225) 713-2405 |
| Full Name | Our Lady Of The Lake Physician Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 310 Durel Dr, New Roads, Louisiana |
| Authorized Official Name and Position | Jamy Richard (VP FINANCE) |
| Authorized Official Contact | 2254908801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Lady Of The Lake Physician Group Llc 5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 Ph: (225) 526-0006 | Our Lady Of The Lake Physician Group Llc 310 Durel Dr New Roads LA 70760-2973 Ph: (225) 713-2400 |
| NPI Number | 1447399308 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 07/28/2016 |
| Medicare PECOS PAC ID | 6002708799 |
|---|---|
| Medicare Enrollment ID | O20040526000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447399308 | NPI | - | NPPES |
| 1447528 | Medicaid | LA |
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