Our Lady of the Lake Physician Group, LLC
Our Lady of the Lake Physician Group, LLC is a Primary Care Clinic/Center in Maurepas, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.
- Licensed in
- LA
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
18740 Highway 22Maurepas, LA 70449-3018
Phone: (225) 698-3435
Fax: (225) 698-6446
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X · Licence 115 (LA) |
|---|---|
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
Record details
| NPI number | 1134152630 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jamy Richard — Vp Finance · (225) 526-0121 |
| Other names | Our Lady Of The Lake Physician Group-Riverside |
| NPI enumerated | July 8, 2006 |
| Last updated in NPPES | March 1, 2017 |
| Mailing address | 18740 Highway 22, Maurepas, LA 70449-3018 |