Our Lady Of The Lake Physician Group Llc, NPI 1184671455
Hematology & Oncology Physician in Baton Rouge, LA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1184671455 |
| NPI Entity Type | Organization |
| Provider Name |
Our Lady Of The Lake Physician Group Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 4950 Essen Ln, Baton Rouge, LA, US |
| Provider Mailing Address | 8415 Goodwood Blvd, Ste 105, Baton Rouge, LA, US, 708067851 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Tamara White |
| Official Position | DIRECTOR OF BUSINESS SERVICES |
| Phone | 225-765-5727 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Hematology & Oncology Physician |
| Classification | |
| Group | |
| Description | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No | |||||
| No | |||||
| No | |||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 05684711 | MS | MEDICAID | 05 |
| 1447218 | LA | MEDICAID | 05 |
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