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OUR LADY OF THE LAKE PHYSICIAN GROUP, LLC
NPI 1588062079
Clinic/Center - Urgent Care in Baton Rouge, LA

Active since December 15, 2014
5439 AIRLINE HWY, BATON ROUGE, LA 70805(225) 358-4853(225) 358-2350 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Our Lady Of The Lake Physician Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OUR LADY OF THE LAKE PHYSICIAN GROUP, LLC (NPI 1588062079) is a healthcare organization registered as an urgent care in Baton Rouge, Louisiana and active in the NPI registry since December 2014. The organization lists Jeffrey Limbocker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1588062079
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameOUR LADY OF THE LAKE PHYSICIAN GROUP, LLC
Location Address5439 AIRLINE HWYBaton Rouge, LA 70805-1712
Mailing Address2051 Silverside Dr, Suite 260Baton Rouge, LA 70808-9005 · (225) 490-8808 · Fax (225) 765-9687
Phone(225) 358-4853
Fax(225) 358-2350
Organization SubpartYes
Authorized OfficialJeffrey LimbockerCfo · (225) 765-8551
Enumeration DateDecember 15, 2014
✔ NPI 1588062079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
5439 AIRLINE HWY, Baton Rouge, LA 70805
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL WILLIAM STUMPF M.D.
Internal Medicine
5439 AIRLINE HWY
BATON ROUGE, LA 70805
East Baton Rouge Parish (225) 358-4853
JUDY DAVIDSON OWENS N.P.
Nurse Practitioner
5439 AIRLINE HWY
BATON ROUGE, LA 70805
East Baton Rouge Parish (225) 358-2313
CONVENIENT CARE LLC
Clinic/Center (Urgent Care)
5439 AIRLINE HWY
BATON ROUGE, LA 70805
East Baton Rouge Parish (225) 358-2400
ANTHONY LESLIE VANDUZEE PAC
Physician Assistant (Surgical)
5439 AIRLINE HWY
BATON ROUGE, LA 70805
East Baton Rouge Parish (225) 358-2280
WILLIAM DUREAU DART JR. FNP
Nurse Practitioner
5439 AIRLINE HWY
BATON ROUGE, LA 70805
East Baton Rouge Parish (225) 765-7163
KELLY CHRISTINE BOAL PA
Physician Assistant
5439 AIRLINE HWY
BATON ROUGE, LA 70805
East Baton Rouge Parish (225) 358-4853
MR. NICHOLAS RYAN BOONE NP
Nurse Practitioner (Family)
5439 AIRLINE HWY
BATON ROUGE, LA 70805
East Baton Rouge Parish (225) 358-4853
MESSAN DODJI FOLIVI MD
Internal Medicine
5439 AIRLINE HWY
BATON ROUGE, LA 70805
East Baton Rouge Parish (225) 358-4853

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Our Lady Of The Lake Physician Group, LLC's NPI number?

The NPI number for Our Lady Of The Lake Physician Group, LLC is 1588062079. It was assigned to this organization in the NPPES registry on December 15, 2014.

Where is Our Lady Of The Lake Physician Group, LLC located?

Our Lady Of The Lake Physician Group, LLC is located at 5439 Airline Hwy, Baton Rouge, LA 70805. The listed phone number is (225) 358-4853.

What is Our Lady Of The Lake Physician Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

What insurance does Our Lady Of The Lake Physician Group, LLC accept?

Health plans from UnitedHealthcare list Our Lady Of The Lake Physician Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Our Lady Of The Lake Physician Group, LLC was last updated on December 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.