Organization
LAKE URGENT CARE ASCENSION LLC
Active
Other names
Lake Urgent Care - Gonzales
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE SELLARS (PRESIDENT)
(225) 214-9353
Entity
Organization
Contact information
Practice address
1702 N BURNSIDE AVE, GONZALES, LA 70737-2141
(225) 647-4988
Mailing address
PO BOX 679641, DALLAS, TX 75267-9641
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2012
Last updated
01/24/2023
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