Organization · Type 2 NPI

Our Lady of the Lake Physician Group LLC

Comprehensive Outpatient Rehabilitation Facility (CORF) · Baton Rouge, LA

NPI number 1235912502 Active

Practice location

1805 College Dr
Baton Rouge, LA 70808-1919

Fax (225) 922-9316

Mailing address

PO Box 677957
Dallas, TX 75267-7957

Specialties and licenses

TaxonomyCodeLicense
Comprehensive Outpatient Rehabilitation Facility (CORF) Primary 261QR0401XNone listed

Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...

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About NPI 1235912502

Our Lady of the Lake Physician Group LLC's National Provider Identifier is 1235912502, issued on Aug 18, 2023. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Baton Rouge, LA. The record was last updated on Aug 18, 2023.