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 1518006568

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

In the registry since
2007
Specialties on file
2
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

160 Hospital Rd
New Roads, LA 70760-2617
Phone: (225) 638-4686
Fax: (225) 638-4203
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

Record details

NPI number1518006568
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOur Lady of the Lake Hospital Inc
Authorized official Elona Sharbaugh — Vp Physician Practices · (225) 490-8806
NPI enumeratedFebruary 6, 2007
Last updated in NPPESDecember 10, 2012
Mailing address2051 Silverside Dr, Suite 120, Baton Rouge, LA 70808-9005

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