OUR LADY OF THE LAKE ASCENSION, LLC

GONZALES, LA
NPI1144468422
Doing Business AsST ELIZABETH PHYSICIANS SPECIALISTS
Entity TypeOrganization
Authorized ContactJOHN F FRAICHE
President
225-743-2651
Organization Subpart ?Yes
Primary Taxonomy208600000X Surgery
(Licence: LA  026022)
Additional Taxonomies207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: LA  12027R)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: LA  R001375)
208600000X Surgery
(Licence: LA  04796R)
208800000X Urology
(Licence: LA  024919)
Enumeration Date2009-01-26
Last Update Date2009-06-03
Business Address
OUR LADY OF THE LAKE ASCENSION, LLC
2647 S RIVERVIEW BLVD
GONZALES, LA 70737-5021
Phone number: 225-647-8511
Mailing Address
OUR LADY OF THE LAKE ASCENSION, LLC
2647 S. RIVERVIEW BLVD
GONZALES, LA 70737
Phone number: 225-647-8511