Our Lady of the Lake Physician Group LLC

NPI #1184671455 in Baton Rouge, Louisiana

Provider Information

NPI Number
1184671455
Entity Type
Organization
Organization Name
Our Lady of the Lake Physician Group LLC
Primary Specialty
Internal Medicine - Hematology & Oncology
Enumeration Date
May 30, 2006
Last Updated
Feb 20, 2013

Practice Location

Address
4950 ESSEN LN
ZIP Code
70809-3738
Phone
(225) 767-1311

Authorized Official

Name
TAMARA WHITE
Title
DIRECTOR OF BUSINESS SERVICES
Phone
(225) 765-5727

Specialties & Taxonomy Codes

Specialty
Surgery
Colon & Rectal Surgery
Surgery - Trauma SurgeryTrauma Surgery
Nurse Practitioner
Physician Assistant
Internal Medicine - Hematology & OncologyHematology & Oncology

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