Our Lady of the Lake Physician Group, LLC
NPI #1134152630 in Maurepas, Louisiana
Provider Information
- NPI Number
- 1134152630
- Entity Type
- Organization
- Organization Name
- Our Lady of the Lake Physician Group, LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jul 8, 2006
- Last Updated
- Mar 1, 2017
Practice Location
Authorized Official
- Name
- JAMY A RICHARD
- Title
- VP FINANCE
- Phone
- (225) 526-0121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
| Clinic/Center - Rural Health — Rural Health |
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