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 Cardiovascular Disease Physician · NPI 1356643399

Our Lady of the Lake Physician Group LLC provides Cardiovascular Disease Physician services in Baton Rouge, Louisiana. Registered with an NPI since 2010.

In the registry since
2010
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

8415 Goodwood Blvd Ste 105
Baton Rouge, LA 70806-7851 Not confirmed with CMS for 15 years — call before visiting
Phone: (225) 765-5727
Fax: (225) 765-4278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1356643399
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOur Lady of the Lake Physician Group LLC
Authorized official Elona Sharbaugh — Vp Physician Practices · (225) 765-8680
Other names Lake Physician Group Cardiology Ser
NPI enumeratedNovember 24, 2010
Last updated in NPPESNovember 24, 2010
Mailing address8415 Goodwood Blvd, Ste 105, Baton Rouge, LA 70806-7851

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