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 1447399308

Our Lady of the Lake Physician Group LLC provides Family Medicine Physician services in New Roads, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007
Specialties on file
3
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

310 Durel Dr
New Roads, LA 70760-2973 Not confirmed with CMS for 10 years — call before visiting
Phone: (225) 713-2400
Fax: (225) 713-2405
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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
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP07361 (LA)

Record details

NPI number1447399308
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOur Lady of the Lake Hospital Inc
Authorized official Jamy Richard — Vp Finance · (225) 490-8801
NPI enumeratedFebruary 6, 2007
Last updated in NPPESJuly 28, 2016
Mailing address5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038

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