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Lake Urgent Care Ascension LLC

Clinic/Center, Urgent Care in Gonzales, LA. Organization (NPI-2).

NPI number1477899656
StatusActive
Last updated in NPPESJan 24, 2023

Details

NPI
1477899656
Entity type
Organization (NPI-2)
Legal business name
Lake Urgent Care Ascension LLC
Organization subpart
No
Enumeration date
Dec 17, 2012
Certification date
Jan 24, 2023
Last updated
Jan 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QU0200X Clinic/Center, Urgent Care––Yes

Other names

  • Lake Urgent Care - Gonzales (Doing Business As)

Practice location

1702 N Burnside Ave
Gonzales, LA 70737-2141

Phone 225-647-4988

Mailing address

Po Box 679641
Dallas, TX 75267-9641

Authorized official

Steve Sellars
President
2252149353

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