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Our Lady of the Lake Physician Group LLC

Family Medicine Physician in New Roads, LA · enumerated 2007 · authorized official Jamy Richard, Vp Finance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1447399308

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Registry record

Entity type Organization (Type 2)
Legal business name Our Lady of the Lake Physician Group LLC
Parent organization Our Lady of the Lake Hospital Inc
Practice address 310 Durel Dr, New Roads, LA, 70760
Fax (225) 713-2405
Enumeration date Feb 6, 2007
Last updated in NPPES Jul 28, 2016

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP07361 (LA) Secondary

Authorized official

Name Jamy Richard
Title Vp Finance

Other identifiers

Identifier Type State Issuer
1447528 Medicaid LA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Our Lady of the Lake Physician Group LLC located?
The practice location on file with NPPES is in New Roads, LA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-07-28. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-07-28.