Our Lady Of The Lake Physician Group, Llc in Maurepas - Primary Care
Our Lady Of The Lake Physician Group, Llc - NPI 1134152630
Our Lady Of The Lake Physician Group, Llc is a Primary Care in Maurepas, Louisiana. Our Lady Of The Lake Physician Group, Llc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Our Lady Of The Lake Physician Group, Llc is 1134152630. The last update date is 2017-03-01.
Our Lady Of The Lake Physician Group, Llc's current location address is 18740 Highway 22, Maurepas, Louisiana. You can contact this provider via phone number 2256983435 and fax number 2256986446. The mailing address for Our Lady Of The Lake Physician Group, Llc is 18740 Highway 22, Maurepas, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Our Lady Of The Lake Physician Group, Llc |
|---|---|
| Address | 18740 Highway 22, Maurepas, Louisiana |
| Phone Number | 2256983435 |
| Fax Number | 2256986446 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP FINANCE |
|---|---|
| Authorized Official Name | Richard A Jamy |
| Telephone Number | 2255260121 |
NPI Number Detail
| NPI Number | 1134152630 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2017-03-01 |
Provider Mailing Address Detail
| Address | 18740 Highway 22 |
|---|---|
| City | Maurepas |
| State | Louisiana (LA) |
| Post Code | 704493018 |
| Phone Number | 2256983435 |
| Fax Number | 2256986446 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1408239 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit 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) 1134152630, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Our Lady Of The Lake Physician Group, Llc is geographically located?
The Our Lady Of The Lake Physician Group, Llc is physically situated at the following location: 18740 Highway 22, Maurepas, LA, 704493018.
What is Our Lady Of The Lake Physician Group, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Our Lady Of The Lake Physician Group, Llc is Primary Care, and the taxonomy code that classifies this field of practice is 261Qp2300X.
When did the Our Lady Of The Lake Physician Group, Llc receive its 1134152630?
The Our Lady Of The Lake Physician Group, Llc was issued its 1134152630 on 2006-07-08, which is the date when the organization was assigned this unique identifier.
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 2017-03-01.
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