Organization · Type 2 NPI
Our Lady of the Lake Ascension, LLC
Surgery Physician · Gonzales, LA
Practice location
2647 S Riverview Blvd
Gonzales, LA 70737-5021
Fax (225) 644-5213
Mailing address
2647 S. Riverview Blvd
Gonzales, LA 70737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 12027R (LA) |
| Pulmonary Disease Physician | 207RP1001X | R001375 (LA) |
| Surgery Physician | 208600000X | 04796R (LA) |
| Surgery Physician Primary | 208600000X | 026022 (LA) |
| Urology Physician | 208800000X | 024919 (LA) |
Surgery Physician: 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 increasin…
2 other providers at this address
Other surgery physician providers in Gonzales
About NPI 1144468422
Our Lady of the Lake Ascension, LLC's National Provider Identifier is 1144468422, issued on Jan 26, 2009. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Gonzales, LA. The record was last updated on Jun 3, 2009.