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

Our Lady of the Lake Physician Group LLC

Organization Pediatric Emergency Medicine (Pediatrics) Physician · NPI 1912282831

Our Lady of the Lake Physician Group LLC provides Pediatric Emergency Medicine (Pediatrics) Physician services in Baton Rouge, Louisiana. Registered with an NPI since 2011.

In the registry since
2011
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

7777 Hennessy Blvd Ste 6002
Baton Rouge, LA 70808-4300 Not confirmed with CMS for 14 years — call before visiting
Phone: (225) 765-7727
Fax: (225) 766-5645
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X

Record details

NPI number1912282831
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Limbocker — Cfo · (225) 765-7727
Other names Pediatric Emergency Services
NPI enumeratedOctober 12, 2011
Last updated in NPPESOctober 12, 2011
Mailing address7777 Hennessy Blvd, Ste 6002, Baton Rouge, LA 70808-4300

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