Our Lady of the Lake Physician Group LLC

NPI #1174662035 in New Roads, Louisiana

Provider Information

NPI Number: 1174662035
Entity Type: Organization
Organization Name: Our Lady of the Lake Physician Group LLC
Subpart: Yes (part of a larger organization)
Parent Organization: OUR LADY OF THE LAKE HOSPITAL INC
Primary Specialty: Family Medicine
Enumeration Date: Feb 6, 2007
Last Updated: Dec 10, 2012

Practice Location

Address: 230 ROBERTS DR
Address 2: SUITE H
City: New Roads
State: Louisiana
ZIP Code: 70760-2661
Phone: (225) 638-7033

Authorized Official

Name: ELONA SHARBAUGH
Title: VP PHYSICIAN PRACTICES
Phone: (225) 490-8806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Family Medicine	207Q00000X	Primary

Similar Providers

Provider Name	Specialty	City
DR. Carl Eugene Mclemore JR., M.D.	Family Medicine	New Roads	AI Deep Dive
Rachel Elizabeth Dewey, DO	Family Medicine	New Roads	AI Deep Dive
DR. Louis Victor Montelaro, M.D.	Family Medicine	New Roads	AI Deep Dive
DR. Brian Joseph Leblanc, M.D.	Family Medicine	New Roads	AI Deep Dive
Andrew Michael Parks, M.D.	Family Medicine	New Roads	AI Deep Dive

Want to research this healthcare provider further?