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Organization
LOURDES PHYSICIAN GROUP LLC
Active
Organization
LOURDES PHYSICIAN GROUP LLC
Active
Parent organization
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC
Authorized official
MR. WILLIAM F BARROW II (CEO)
(337) 470-2999
Entity
Organization
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-2000
(337) 470-2019
Mailing address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-2000
(337) 470-2019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/02/2012
Last updated
08/14/2012
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