Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Our Lady of the Lake Physician Group LLC

Organization Family Medicine Physician · NPI 1356480214

Our Lady of the Lake Physician Group LLC provides Family Medicine Physician services 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

230 Roberts Dr Ste B
New Roads, LA 70760-2661 Not confirmed with CMS for 13 years — call before visiting
Phone: (225) 638-8661
Fax: (225) 638-2977
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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 number1356480214
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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