Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Our Lady of Lake Ascension, LLC

Organization Family Medicine Physician · NPI 1306899067

Our Lady of Lake Ascension, LLC provides Family Medicine Physician services in Gonzales, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2647 S St Elizabeth Blvd Ste 100
Gonzales, LA 70737-5021 Not confirmed with CMS for 11 years — call before visiting
Phone: (225) 647-8511
Fax: (225) 644-5213
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 013784 (LA)

Record details

NPI number1306899067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Fraiche — President · (225) 647-8511
Other names St Elizabeth Physicians
NPI enumeratedMay 17, 2006
Last updated in NPPESMarch 4, 2015
Mailing address2647 S St. Elizabeth Blvd, Suite 100, Gonzales, LA 70737-5021

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