Dr MICHAEL D TEAGUE is a male medical professional, specializing in Internal Medicine. He graduated in 1993 from Louisiana State University School Of Medicine In Shreveport.
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD
BATON ROUGE
LA
708084363
Tel:
| Npi | 1730180472 |
| Pac Id | 6204971237 |
| Professional Enrollment Id | I20100302000755 |
| Last Name | TEAGUE |
| First Name | MICHAEL |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
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| Organization Legal Name | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| Group Practice Pac Id | 4587849781 |
| Number Of Group Practice Members | 439 |
| Line 1 Street Address | 7777 HENNESSY BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 708084363 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 190064 |
| Hospital Affiliation Lbn 1 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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