Kelli C Corkern
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC


Address: 2647 S Saint Elizabeth Blvd, Suite 301, Gonzales, LA 70737-5017
Phone: 2256478511

Kelli C Corkern (NPI# 1629353990, PAC ID# 3870767171) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1629353990
PAC ID by PECOS 3870767171
Professional Enrollment ID I20111123000275
Full Name Kelli C Corkern
Organization Legal Name OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
Address 2647 S Saint Elizabeth Blvd
Suite 301
Gonzales
LA 70737-5017
Phone Number 2256478511
Gender F
Graduation Year 2011
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 4587849781
Number of Group Practice Members 474
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190064 OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER
191308 PREVOST MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
2647 S Saint Elizabeth Blvd, Suite 301, Gonzales, LA 70737-5017 2256478511 OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
17609 Old Jefferson Hwy, Suite A, Prairieville, LA 70769-3980 2256478511 OUR LADY OF THE LAKE PHYSICIAN GROUP LLC

Organization Information

Organization Legal Name OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
Physicians 443

Physicians with the same organization

Name Specialty Organization Address
James Michael Robinson Family Medicine Our Lady of The Lake Physician Group LLC 12525 Perkins Rd A, Baton Rouge, LA 70810-1907
Kori Fogg Juban Nurse Practitioner Our Lady of The Lake Physician Group LLC 34870 La Hwy 1019, Denham Springs, LA 70706-0659
Michelle Duhe Family Medicine Our Lady of The Lake Physician Group LLC 26739 La Hwy 1032, Denham Springs, LA 70726-4926
Swapna G Kallu Internal Medicine Our Lady of The Lake Physician Group LLC 214 Clinic Dr, Donaldsonville, LA 70346-4309
Montrell Martin-duhe Nurse Practitioner Our Lady of The Lake Physician Group LLC 4463 La Hwy 1 S A, Port Allen, LA 70767-5990
Joshua R Clark Family Medicine Our Lady of The Lake Physician Group LLC 59315 River W Dr, Suite C, Plaquemine, LA 70764-6553
Hollie B Ortis Nurse Practitioner Our Lady of The Lake Physician Group LLC 13489 Hwy 431, Suite A, Saint Amant, LA 70774-3213
Shantan Ravula Family Medicine Our Lady of The Lake Physician Group LLC 14225 Hwy 73, Prairieville, LA 70769-3616
Daniel Kevin Lavie Hematology/oncology Our Lady of The Lake Physician Group LLC 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738
Sheri A Ammons Nurse Practitioner Our Lady of The Lake Physician Group LLC 5428 Odonovan Dr B, Baton Rouge, LA 70808-4374

Office Location

Street Address 2647 S SAINT ELIZABETH BLVD
SUITE 301
City GONZALES
State LA
Zip 70737-5017

Physicians in the same location

Name Specialty Organization Address
John F Fraiche Family Medicine Our Lady of The Lake Physician Group LLC 2647 S Saint Elizabeth Blvd, Suite 100, Gonzales, LA 70737-5019
Robert P St Amant Family Medicine Our Lady of The Lake Physician Group LLC 2647 S Saint Elizabeth Blvd, Suite 311, Gonzales, LA 70737-5020
Gretchen M Yandle Pulmonary Disease Our Lady of The Lake Physician Group LLC 2647 S Saint Elizabeth Blvd, Suite 215, Gonzales, LA 70737-5020
Harold W Helmke Iii Interventional Cardiology Our Lady of The Lake Physician Group LLC 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5017
Shawn K Hall Family Medicine Our Lady of The Lake Physician Group LLC 2647 S Saint Elizabeth Blvd, Suite 100, Gonzales, LA 70737-5019
Rodney E Hillis Neurology Our Lady of The Lake Physician Group LLC 2647 S Saint Elizabeth Blvd, Suite 320, Gonzales, LA 70737-5017
Kelly L Duke Physician Assistant Our Lady of The Lake Physician Group LLC 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5017
Michael S Bodin Family Medicine Our Lady of The Lake Physician Group LLC 2647 S Saint Elizabeth Blvd, Suite 219, Gonzales, LA 70737-5020
Melissa F Hubbs Nurse Practitioner Our Lady of The Lake Physician Group LLC 2647 S Saint Elizabeth Blvd, Suite 221, Gonzales, LA 70737-5020
Mandy Lynn Templet Nurse Practitioner Our Lady of The Lake Physician Group LLC 2647 S Saint Elizabeth Blvd, Suite 311, Gonzales, LA 70737-5020
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Physicians in the same zip code

Name Specialty Organization Address
Hailey R Entremont Nurse Practitioner Our Lady of The Lake Physician Group LLC 1702 N Burnside Ave, Suite A, Gonzales, LA 70737-2141
Sharon D Lobell Nurse Practitioner Our Lady of The Lake Physician Group LLC 1702 N Burnside Ave, Suite A, Gonzales, LA 70737-2141
Paul C Aguillard Jr. Pediatric Medicine Our Lady of The Lake Physician Group LLC 1702 N Burnside Ave, Suite A, Gonzales, LA 70737-2141
Annie K Lanclos Nurse Practitioner Lake Urgent Care Ascension LLC 1702 N Burnside Ave, Lake Urgent Care Gonzales, Gonzales, LA 70737-2141
Raymond Dyer Physical Therapy Alliance Therapy Services, Inc 12320 Hwy 44 3f, Gonzales, LA 70737-2202
Veronica D Walker Qualified Speech Language Pathologist Alliance Therapy Services, Inc 12320 Hwy 44 3f, Gonzales, LA 70737-2202
Donna P Aguillard Occupational Therapy Alliance Therapy Services, Inc 12320 Hwy 44 3f, Gonzales, LA 70737-2202
Jeremy C Catoire Physical Therapy 12550 Airline Hwy, Suite 102, Gonzales, LA 70737-2258
Brian S Christopherson Optometry 308 N Airline, Brian S Christopherson Od, Gonzales, LA 70737-3009
Phillip L Smith Chiropractic 208 E Cornerview St, Smith Chiropractic Clinic, Gonzales, LA 70737-3150
Find all physicians in zip 70737

Competitor

Search similar physicians

City GONZALES
Zip Code 70737
Specialty NURSE PRACTITIONER
City + Specialty GONZALES + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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