Organization · Type 2 NPI

Our Lady of the Lake Physician Group LLC

Family Medicine Physician · New Roads, LA

NPI number 1356480214 Active

Practice location

230 Roberts Dr, Suite B
New Roads, LA 70760-2661

Fax (225) 638-2977

Mailing address

2051 Silverside Dr, Suite 120
Baton Rouge, LA 70808-9005

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Physician Assistant 363A00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9 other providers at this address

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About NPI 1356480214

Our Lady of the Lake Physician Group LLC's National Provider Identifier is 1356480214, issued on Feb 6, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in New Roads, LA. The record was last updated on Dec 10, 2012.