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OUR LADY OF THE LAKE ASCENSION LLC NPI 1144468422


NPI Information

NPI: 1144468422
Provider Name: OUR LADY OF THE LAKE ASCENSION, LLC

Doing Business As: ST ELIZABETH PHYSICIANS SPECIALISTS

Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 19D2082936

Address:
2647 S RIVERVIEW BLVD
GONZALES, LA
ZIP 70737
Phone: (225) 647-8511
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OUR LADY OF THE LAKE ASCENSION, LLC is a surgery in Gonzales, LA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. OUR LADY OF THE LAKE ASCENSION, LLC NPI is 1144468422. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Elizabeth Physicians Specialists.

The provider's business location address is:

2647 S RIVERVIEW BLVD
GONZALES, LA
ZIP 70737-021
Phone: (225) 647-8511
Fax: (225) 644-5213

The provider's authorized official is John F Fraiche .
The authorized official title is President and has the following contact phone number (225) 743-2651.

The CLIA number assigned to this NPI record is 19D2082936 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2009 and was last updated on 6/3/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism12027RLOUISIANANo
2207RP1001XInternal MedicinePulmonary DiseaseR001375LOUISIANANo
3208600000XSurgery04796RLOUISIANANo
4208800000XUrology024919LOUISIANANo
5208600000XSurgery026022LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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