Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Our Lady of the Lake Hospital Inc

Organization Family Medicine Physician · NPI 1275577603

Our Lady of the Lake Hospital Inc is a Family Medicine Physician in Baton Rouge, Louisiana. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8415 Goodwood Blvd Ste 105
Baton Rouge, LA 70806-7851
Phone: (225) 765-5727
Fax: (225) 765-9244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1275577603
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOur Lady of the Lake Hospital Inc
Authorized official Jamy Richard — Dir Of Reimbursement And Finance · (225) 765-4281
Other names Lake Primary Care Physicians
NPI enumeratedJune 15, 2006
Last updated in NPPESApril 15, 2011
Mailing address8415 Goodwood Blvd, Suite 105, Baton Rouge, LA 70806-7851

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