# LAKE URGENT CARE ASCENSION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Urgent Care - Galvez
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104162221
- **Authorized official:** MR. STEVE SELLARS (PRESIDENT)
- **Authorized official phone:** (225) 214-9353

## Contact information

- **Practice address:** 40546 HIGHWAY 42, PRAIRIEVILLE, LA 70769-5250
- **Practice address phone:** (225) 744-4988
- **Mailing address:** PO BOX 679641, DALLAS, TX 75267-9641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/18/2012
- **Last updated:** 01/24/2023