Organization · Type 2 NPI

Our Lady of the Lake Physician Group, LLC

Urgent Care Clinic/Center · Baton Rouge, LA

NPI number 1972052520 Active

Practice location

1401 N Foster Dr
Baton Rouge, LA 70806-1818

Fax (225) 987-9096

Mailing address

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375

Specialties and licenses

TaxonomyCodeLicense
Urgent Care Clinic/Center Primary 261QU0200XNone listed

Urgent Care Clinic/Center: Definition to come...

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About NPI 1972052520

Our Lady of the Lake Physician Group, LLC's National Provider Identifier is 1972052520, issued on Sep 23, 2016. The primary taxonomy on file is Urgent Care Clinic/Center (261QU0200X), and the practice location is in Baton Rouge, LA. The record was last updated on Sep 23, 2016.