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Organization
OUR LADY OF LAKE ASCENSION, LLC
Active
Organization
OUR LADY OF LAKE ASCENSION, LLC
Active
Other names
ST ELIZABETH PHYSICIANS
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F. FRAICHE M.D. (PRESIDENT)
(225) 647-8511
Entity
Organization
Contact information
Practice address
2647 S ST. ELIZABETH BLVD, SUITE 100, GONZALES, LA 70737-5021
(225) 647-8511
(225) 644-5213
Mailing address
2647 S ST. ELIZABETH BLVD, SUITE 100, GONZALES, LA 70737-5021
(225) 647-8511
(225) 644-5213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
013784
LA
Other
Enumeration date
05/17/2006
Last updated
03/04/2015
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