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

Our Lady of the Lake Physician Group LLC

Organization Hematology & Oncology Physician · NPI 1184671455

Our Lady of the Lake Physician Group LLC is a Hematology & Oncology Physician in Baton Rouge, Louisiana. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4950 Essen Ln
Baton Rouge, LA 70809-3738
Phone: (225) 767-1311
Fax: (225) 767-1335
Show map & directions

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

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X
Surgery Physician Taxonomy 208600000X
Trauma Surgery Physician Taxonomy 2086S0127X
Colon & Rectal Surgery Physician Taxonomy 208C00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1184671455
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamara White — Director Of Business Services · (225) 765-5727
Other names Olol Physician Surgical Specialty
NPI enumeratedMay 30, 2006
Last updated in NPPESFebruary 20, 2013
Mailing address8415 Goodwood Blvd, Ste 105, Baton Rouge, LA 70806-7851

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