Our Lady Of The Lake Physician Group Llc
Pediatric Emergency Medicine
Our Lady Of The Lake Physician Group Llc is a Baton Rouge, Louisiana based Pediatric center with medical specialization in
Pediatric Emergency Medicine. Our Lady Of The Lake Physician Group Llc is doing business as
Pediatric Emergency Services.
It is located at
7777 Hennessy Blvd, Ste 6002, Baton Rouge, Louisiana - 70808-4300. They can be contacted on phone at
225-765-7727 and fax number 225-766-5645.
NPI number (Unique professional ID) for Our Lady Of The Lake Physician Group Llc is
1912282831 which was assigned by NPPES on 12 Oct, 2011 and it was last updated on 12 Oct, 2011.
Our Lady Of The Lake Physician Group Llc has special qualifications to manage emergencies in infants and children.
Complete Profile:
Our Lady Of The Lake Physician Group Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Our Lady Of The Lake Physician Group Llc |
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| Other Name : | Pediatric Emergency Services |
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Business Address:
Our Lady Of The Lake Physician Group Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 7777 Hennessy Blvd, Ste 6002
Baton Rouge, LA, 70808-4300
United States |
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| Phone Number : | 225-765-7727 |
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| Fax Number : | 225-766-5645 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1912282831 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 12 Oct, 2011 |
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| Last Updated On : | 12 Oct, 2011 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Jeffrey Limbocker |
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| Official Title or Position : | CFO |
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| Phone Number : | 225-765-7727 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Our Lady Of The Lake Physician Group Llc are as mentioned. Primary taxonomy code for Our Lady Of The Lake Physician Group Llc is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 7777 Hennessy Blvd, Ste 6002
Baton Rouge, LA, 70808-4300
United States |
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| Phone Number : | 225-765-7727 |
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| Fax Number : | 225-766-5645 |
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Business Location:
Patients can refer following map for directions to
Our Lady Of The Lake Physician Group Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.