institution
Our Lady Of The Lake Physician Group Llc
Comprehensive Outpatient Rehabilitation Facility (CORF) in Baton Rouge, Louisiana
NPI 1235912502

Our Lady Of The Lake Physician Group Llc is a Comprehensive Outpatient Rehabilitation Facility (CORF) based in Dallas, LA and is specialized in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). Our Lady Of The Lake Physician Group Llc practices in Baton Rouge, LA. The NPI Number for Our Lady Of The Lake Physician Group Llc is 1235912502 and holds a License No. (Louisiana).

The current practice location address for Our Lady Of The Lake Physician Group Llc is 1805 College Dr, Baton Rouge, LA and can be reached out via phone at 225-923-3420 and via fax at 225-922-9316.

Location: 1805 College Dr, Baton Rouge, LA, 75267-7957
institution
Provider Profile Details
NPI Number
1235912502
Provider Name
Our Lady Of The Lake Physician Group Llc
Credential
Provider Entity Type
Organization
Address
1805 College Dr, Baton Rouge, LA, 75267-7957
Phone Number
225-923-3420
Fax Number
225-922-9316
Provider Enumeration Date
08/18/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1805 College Dr
City
State
Zip
70808-1919
Phone Number
225-923-3420
Fax Number
225-922-9316
person
Provider Business Mailing Address Details
Address
1805 College Dr
City
State
Zip
70808-1919
Phone Number
225-923-3420
Fax Number
225-922-9316
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Taxonomy
License No.
()
Definition
Definition to come...
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