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Olol-ascension
Family Medicine Physician in Gonzales, Louisiana
NPI 1730111790

Olol-ascension is a Family Medicine Physician based in Gonzales, LA. Olol-ascension practices in Gonzales, LA. The NPI Number for Olol-ascension is 1730111790 and holds a License No. 013784 (Louisiana).

The current practice location address for Olol-ascension is 1702 N Burnside Ave, Gonzales, LA and can be reached out via phone at 225-647-8511 and via fax at 225-644-5213.

Location: 1702 N Burnside Ave, Gonzales, LA, 70737-5021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730111790
Provider Name
Olol-ascension
Credential
Provider Entity Type
Organization
Address
1702 N Burnside Ave, Gonzales, LA, 70737-5021
Phone Number
225-647-8511
Fax Number
225-644-5213
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1440400 05 LA
institution
Provider Business Practice Location Address Details
Address
1702 N Burnside Ave
City
Gonzales
State
Louisiana
Zip
70737-5021
Phone Number
225-647-8511
Fax Number
225-644-5213
person
Provider Business Mailing Address Details
Address
1702 N Burnside Ave
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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