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 Family Medicine Physician · NPI 1447399308

Our Lady of the Lake Physician Group LLC is a Family Medicine Physician in New Roads, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

310 Durel Dr
New Roads, LA 70760-2973
Phone: (225) 713-2400
Fax: (225) 713-2405
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP07361 (LA)

Record details

NPI number1447399308
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOur Lady of the Lake Hospital Inc
Authorized official Jamy Richard — Vp Finance · (225) 490-8801
NPI enumeratedFebruary 6, 2007
Last updated in NPPESJuly 28, 2016
Mailing address5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038

Other providers in New Roads