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Our Lady Of Lake Ascension, Llc
Family Medicine Physician in Gonzales, Louisiana
NPI 1306899067

Our Lady Of Lake Ascension, Llc is a Family Medicine Physician based in Gonzales, LA. Our Lady Of Lake Ascension, Llc practices in Gonzales, LA. The NPI Number for Our Lady Of Lake Ascension, Llc is 1306899067 and holds a License No. 013784 (Louisiana).

The current practice location address for Our Lady Of Lake Ascension, Llc is 2647 S St. Elizabeth Blvd, Gonzales, LA and can be reached out via phone at 225-647-8511 and via fax at 225-644-5213.

Location: 2647 S St. Elizabeth Blvd, Gonzales, LA, 70737-5021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306899067
Provider Name
Our Lady Of Lake Ascension, Llc
Credential
Provider Entity Type
Organization
Address
2647 S St. Elizabeth Blvd, Gonzales, LA, 70737-5021
Phone Number
225-647-8511
Fax Number
225-644-5213
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1949892 05 LA
institution
Provider Business Practice Location Address Details
Address
2647 S St. Elizabeth Blvd
City
Gonzales
State
Louisiana
Zip
70737-5021
Phone Number
225-647-8511
Fax Number
225-644-5213
person
Provider Business Mailing Address Details
Address
2647 S St. Elizabeth Blvd
City
Gonzales
State
Louisiana
Zip
70737-5021
Phone Number
225-647-8511
Fax Number
225-644-5213
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
013784 (Louisiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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