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 Comprehensive Outpatient Rehabilitation Facility (CORF) · NPI 1235912502

Our Lady of the Lake Physician Group LLC is a Comprehensive Outpatient Rehabilitation Facility (CORF) in Baton Rouge, Louisiana. Registered with an NPI since 2023.

In the registry since
2023
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

1805 College Dr
Baton Rouge, LA 70808-1919
Phone: (225) 923-3420
Fax: (225) 922-9316
Show map & directions

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

Specialties & licences

Comprehensive Outpatient Rehabilitation Facility (CORF) (primary) Taxonomy 261QR0401X

Record details

NPI number1235912502
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOur Lady of the Lake Physician Group LLC
Authorized official Jamy Richard — Vp Of Finance · (225) 526-0121
Other names Our Lady Of The Lake Children'S Health Developmental Center At McMains
NPI enumeratedAugust 18, 2023
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing addressPo Box 677957, Dallas, TX 75267-7957

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