Our Lady of the Lake Ascension, LLC
Our Lady of the Lake Ascension, LLC is an Endocrinology, Diabetes & Metabolism Physician in Gonzales, Louisiana. Licensed in Louisiana. Registered with an NPI since 2009.
- Licensed in
- LA
- In the registry since
- 2009
- Specialties on file
- 5
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2647 S Riverview BlvdGonzales, LA 70737-5021
Phone: (225) 647-8511
Fax: (225) 644-5213
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 026022 (LA) |
|---|---|
| Endocrinology, Diabetes & Metabolism Physician | Taxonomy 207RE0101X · Licence 12027R (LA) |
| Pulmonary Disease Physician | Taxonomy 207RP1001X · Licence R001375 (LA) |
| Surgery Physician | Taxonomy 208600000X · Licence 04796R (LA) |
| Urology Physician | Taxonomy 208800000X · Licence 024919 (LA) |
Record details
| NPI number | 1144468422 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Our Lady of the Lake Ascension Community Hospital |
| Authorized official | John Fraiche — President · (225) 743-2651 |
| Other names | St Elizabeth Physicians Specialists |
| NPI enumerated | January 26, 2009 |
| Last updated in NPPES | June 3, 2009 |
| Mailing address | 2647 S. Riverview Blvd, Gonzales, LA 70737 |
Other providers in Gonzales
-
Dr. Haytham Kawji, MD
2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 · (225) 647-8511