Our Lady Of The Lake Physician Group Llc in Baton Rouge - Colon & Rectal Surgery
Our Lady Of The Lake Physician Group Llc - NPI 1184671455
Our Lady Of The Lake Physician Group Llc is a Colon & Rectal Surgery in Baton Rouge, Louisiana. Our Lady Of The Lake Physician Group Llc practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Our Lady Of The Lake Physician Group Llc is 1184671455. The last update date is 2013-02-20.
Our Lady Of The Lake Physician Group Llc's current location address is 4950 Essen Ln, Baton Rouge, Louisiana. You can contact this provider via phone number 2257671311 and fax number 2257671335. The mailing address for Our Lady Of The Lake Physician Group Llc is 4950 Essen Ln, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Our Lady Of The Lake Physician Group Llc |
|---|---|
| Address | 4950 Essen Ln, Baton Rouge, Louisiana |
| Phone Number | 2257671311 |
| Fax Number | 2257671335 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | White Tamara |
| Telephone Number | 2257655727 |
NPI Number Detail
| NPI Number | 1184671455 |
|---|---|
| Provider Enumeration Date | 2006-05-30 |
| Last Updated Date | 2013-02-20 |
Provider Mailing Address Detail
| Address | 4950 Essen Ln |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708093738 |
| Phone Number | 2257671311 |
| Fax Number | 2257671335 |
Provider's Primary Taxonomy Detail
| Speciality | Colon & Rectal Surgery |
|---|---|
| Taxonomy | 208C00000X |
|
Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5684711 | MS | -- | |
| 1447218 | LA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Our Lady Of The Lake Physician Group Llc by the Centers for Medicare & Medicaid Services?
The Our Lady Of The Lake Physician Group Llc has been issued the NPI (National Provider Identifier) 1184671455. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Our Lady Of The Lake Physician Group Llc is located?
The Our Lady Of The Lake Physician Group Llc is situated at the following address: 4950 Essen Ln, Baton Rouge, LA, 708093738.
What is the Our Lady Of The Lake Physician Group Llc's specialty and taxonomy code?
The Our Lady Of The Lake Physician Group Llc's specialty is Colon & Rectal Surgery, and the corresponding taxonomy code is 208C00000X.
On what date did the Our Lady Of The Lake Physician Group Llc receive the assignment of its 1184671455 from the Centers for Medicare & Medicaid Services?
The Our Lady Of The Lake Physician Group Llc was issued its 1184671455 by the Centers for Medicare & Medicaid Services on 2006-05-30.
As of what date were the details related to Our Lady Of The Lake Physician Group Llc most recently updated or revised?
The information pertaining to Our Lady Of The Lake Physician Group Llc, including its address, specialty, and other relevant details, was last updated or revised on 2013-02-20.
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