OrganizationActive
Ascension Medical Associates, LLC
NPI 1417474339 · Neurology Physician · Prairieville, LA
Provider details
- NPI number
- 1417474339
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melissa Lavergne, Credentialing Specialist(225) 953-7388
- License
- 204876 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
37325 Market Place Dr.
Suite D
Prairieville, LA 70769
Phone: (225) 953-7388
Fax: (225) 953-7389
Approximate (ZIP-level) locationGet directions
Mailing address
37325 Market Place Dr Ste D
Prairieville, LA 70769-3499
Registry dates
- Enumerated
- 2017-08-23
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.