| Our Lady Of The Lake Physician Group Llc | |
|
160 Hospital Rd New Roads LA 70760-2617 | |
| (225) 638-4686 | |
| (225) 638-4203 |
| Full Name | Our Lady Of The Lake Physician Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 160 Hospital Rd, New Roads, Louisiana |
| Authorized Official Name and Position | Elona Sharbaugh (VP PHYSICIAN PRACTICES) |
| Authorized Official Contact | 2254908806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Lady Of The Lake Physician Group Llc 2051 Silverside Dr Suite 120 Baton Rouge LA 70808-9005 Ph: (225) 765-4226 | Our Lady Of The Lake Physician Group Llc 160 Hospital Rd New Roads LA 70760-2617 Ph: (225) 638-4686 |
| NPI Number | 1518006568 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 12/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518006568 | NPI | - | NPPES |
| 1447536 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
New Roads Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 Roberts Dr Ste H, New Roads, LA 70760 Phone: 225-638-5879 | |
Our Lady Of The Lake Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Roberts Dr, Suite H, New Roads, LA 70760 Phone: 225-638-7033 Fax: 225-638-7034 | |
Pointe Coupee Parish Schools Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1662 La Hwy. 1, New Roads, LA 70760 Phone: 225-638-8674 | |
Donald W Doucet Md And Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Roberts Dr, Suite I, New Roads, LA 70760 Phone: 225-638-4585 Fax: 225-638-4586 | |
Our Lady Of The Lake Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Roberts Dr, Suite B, New Roads, LA 70760 Phone: 225-638-8661 Fax: 225-638-2977 | |
New Roads Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 W Main St, New Roads, LA 70760 Phone: 225-242-9162 | |
Our Lady Of The Lake Physician Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 Durel Dr, New Roads, LA 70760 Phone: 225-713-2400 Fax: 225-713-2405 |