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Dr. Louis A. Kazal JR., MD

(Louis A. Kazal Jr., MD)

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Specializes in: Family Medicine, General Practice and General Pediatrics

Thomas Jefferson University School of Medicine, Philadelphia, PA (1984)

Professional interests include: trigger point injection, complementary medicine, functional medicine, and more.

18 Old Etna Road
Lebanon, NH 03766

(603) 650-4000

Dr. Louis A. Kazal JR., MD is a family medicine practitioner in Lebanon, NH specializing in family medicine, general practice and general pediatrics. He graduated from Thomas Jefferson University School of Medicine, Philadelphia, PA in 1984 and has 42 years of experience. Dr. Louis A. Kazal JR., MD is affiliated with Dartmouth Health and Dartmouth Hitchcock Clinics Heater Road.

Office Locations

18 Old Etna Road
Lebanon, NH 03766

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Some issues Dr. Louis A. Kazal JR., MD can help you with:

Joint Injections

A joint is any area of the body where two bones connect. Due to injury or disease, the space between the two bones can sometimes become swollen and inflamed, which leads to pain and a loss of mobility. Injection and aspiration are two tools that physicians use to treat joint pain locally without needing to perform surgery.

Both injection and aspiration are techniques that involve inserting a needle connected to a syringe directly into the joint. Aspiration involves the removal of excess fluid, and injection is the placement of medication directly into the joint space via the needle. Both procedures may be performed at the same time. In both cases a local anesthetic may be used, the skin will be cleaned and disinfected, and then the needle will be inserted. In some cases, especially if the injection or aspiration is in a large and deep joint such as the hip or spine, ultrasound may be used to guide the needle to the exact location desired.

In some cases, irritation to the joint can cause fluid to build up so significantly that the joint hurts and can no longer move well. Aspiration removes some of the excess fluid and relieves the pressure. In addition, aspiration can be used to provide a sample of joint fluid if it needs to be examined microscopically for the presence of white blood cells, bacteria, or crystal formations.

Certain injuries and diseases that affect joints are inflammatory in nature, such as rheumatoid arthritis, tendonitis or gout. These diseases may be helped by the local injection of anti-inflammatory medications directly into the affected joint. In this case, corticosteroids such as methylprednisone are usually used. Relief from the pain may be felt right away and may last for weeks or even months.

In some cases, such as with osteoarthritis, the cartilage buffer between the two bones wears down and pain comes from bones rubbing against each other. In this case, injection of a lubricating agent such as hyaluronic acid may be beneficial. It provides a slippery cushion between the bones to relieve pain that can last for months.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

Volume of procedures performed by Dr. Louis A. Kazal JR., MD for Medicare patients.

doctor visit	286

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Louis A. Kazal JR., MD treated as a family medicine practitioner in Lebanon, NH during 2013 were removal of lesion (e.g. growth) and skin procedures.

Volume of procedures performed by Dr. Louis A. Kazal JR., MD for Medicare patients.

doctor visit	242
removal of lesion (e.g. growth)	14
skin procedures	14

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Louis A. Kazal JR., MD.

**Gender**
Male	74
Female	59

**Age**
From 65 to 74	72
From 75 to 84	30
85 and over	12
Less than 65	19

Conditions of Medicare patients treated by Dr. Louis A. Kazal JR., MD in 2013

Hypertension	35
High Cholesterol	30
Stroke	0
Ischemic Heart Disease	14
Depression	17
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	13
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

Volume of procedures performed by Dr. Louis A. Kazal JR., MD for Medicare patients.

doctor visit	285

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Louis A. Kazal JR., MD.

**Gender**
Male	89
Female	69

**Age**
From 65 to 74	80
From 75 to 84	48
85 and over	11
Less than 65	19

Conditions of Medicare patients treated by Dr. Louis A. Kazal JR., MD in 2014

Hypertension	39
High Cholesterol	33
Stroke	0
Ischemic Heart Disease	18
Depression	16
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	7
Chronic Obstructive Pulmonary Disease	0
Diabetes	18
Dementia	0
Cancer	8

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Louis A. Kazal JR., MD treated as a family medicine practitioner in Lebanon, NH during 2015 were removal of lesion (e.g. growth) and skin procedures.

Volume of procedures performed by Dr. Louis A. Kazal JR., MD for Medicare patients.

doctor visit	206
removal of lesion (e.g. growth)	13
skin procedures	13

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Louis A. Kazal JR., MD.

**Gender**
Male	140
Female	122

**Age**
From 65 to 74	128
From 75 to 84	84
85 and over	22
Less than 65	28

Conditions of Medicare patients treated by Dr. Louis A. Kazal JR., MD in 2015

Hypertension	30
High Cholesterol	27
Stroke	0
Ischemic Heart Disease	20
Depression	15
Chronic Kidney Disease	0
Asthma	9
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	15
Dementia	0
Cancer	11

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

Volume of procedures performed by Dr. Louis A. Kazal JR., MD for Medicare patients.

doctor visit	359

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Louis A. Kazal JR., MD.

**Gender**
Male	92
Female	101

**Age**
From 65 to 74	85
From 75 to 84	55
85 and over	12
Less than 65	41

Conditions of Medicare patients treated by Dr. Louis A. Kazal JR., MD in 2016

Hypertension	36
High Cholesterol	24
Stroke	0
Ischemic Heart Disease	17
Depression	20
Chronic Kidney Disease	10
Asthma	11
Osteoperosis	7
Atrial Fibrilation	0
Heart Failure	7
Chronic Obstructive Pulmonary Disease	6
Diabetes	19
Dementia	0
Cancer	12

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

Volume of procedures performed by Dr. Louis A. Kazal JR., MD for Medicare patients.

doctor visit	236

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Louis A. Kazal JR., MD.

**Gender**
Male	78
Female	44

**Age**
From 65 to 74	60
From 75 to 84	39
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Louis A. Kazal JR., MD in 2017

Hypertension	39
High Cholesterol	16
Stroke	0
Ischemic Heart Disease	21
Depression	22
Chronic Kidney Disease	14
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	16
Dementia	0
Cancer	9

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

Volume of procedures performed by Dr. Louis A. Kazal JR., MD for Medicare patients.

doctor visit	253

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Louis A. Kazal JR., MD.

**Gender**
Male	72
Female	48

**Age**
From 65 to 74	52
From 75 to 84	39
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Louis A. Kazal JR., MD in 2018

Hypertension	41
High Cholesterol	34
Stroke	0
Ischemic Heart Disease	19
Depression	24
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	11
Diabetes	18
Dementia	0
Cancer	10

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

Volume of procedures performed by Dr. Louis A. Kazal JR., MD for Medicare patients.

doctor visit	286

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Louis A. Kazal JR., MD.

**Gender**
Male	90
Female	62

**Age**
From 65 to 74	62
From 75 to 84	61
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Louis A. Kazal JR., MD in 2019

Hypertension	43
High Cholesterol	26
Stroke	0
Ischemic Heart Disease	17
Depression	23
Chronic Kidney Disease	16
Asthma	9
Osteoperosis	8
Atrial Fibrilation	0
Heart Failure	8
Chronic Obstructive Pulmonary Disease	0
Diabetes	14
Dementia	7
Cancer	12

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

Volume of procedures performed by Dr. Louis A. Kazal JR., MD for Medicare patients.

doctor visit	240

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Louis A. Kazal JR., MD.

**Gender**
Male	94
Female	74

**Age**
From 65 to 74	78
From 75 to 84	54
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Louis A. Kazal JR., MD in 2020

Hypertension	41
High Cholesterol	27
Stroke	0
Ischemic Heart Disease	24
Depression	18
Chronic Kidney Disease	17
Asthma	7
Osteoperosis	0
Atrial Fibrilation	7
Heart Failure	10
Chronic Obstructive Pulmonary Disease	10
Diabetes	21
Dementia	0
Cancer	9

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Volume of procedures performed by Dr. Louis A. Kazal JR., MD for Medicare patients.

doctor visit	220

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Louis A. Kazal JR., MD.

**Gender**
Male	76
Female	65

**Age**
From 65 to 74	69
From 75 to 84	44
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Louis A. Kazal JR., MD in 2021

Hypertension	33
High Cholesterol	28
Stroke	0
Ischemic Heart Disease	24
Depression	16
Chronic Kidney Disease	13
Asthma	0
Osteoperosis	9
Atrial Fibrilation	10
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	23
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

Volume of procedures performed by Dr. Louis A. Kazal JR., MD for Medicare patients.

doctor visit	255

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Louis A. Kazal JR., MD.

**Gender**
Male	97
Female	75

**Ethnicity**
Non-Hispanic White	161
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	83
From 75 to 84	56
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Louis A. Kazal JR., MD in 2022

Hypertension	50
High Cholesterol	47
Stroke	0
Ischemic Heart Disease	16
Depression	18
Chronic Kidney Disease	9
Asthma	9
Osteoperosis	12
Atrial Fibrilation	13
Heart Failure	0
Chronic Obstructive Pulmonary Disease	8
Diabetes	16
Dementia	0
Cancer	12

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

Volume of procedures performed by Dr. Louis A. Kazal JR., MD for Medicare patients.

doctor visit	208

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Louis A. Kazal JR., MD.

**Gender**
Male	81
Female	47

**Age**
From 65 to 74	61
From 75 to 84	44
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Louis A. Kazal JR., MD in 2023

Hypertension	52
High Cholesterol	45
Stroke	0
Ischemic Heart Disease	16
Depression	13
Chronic Kidney Disease	0
Asthma	10
Osteoperosis	0
Atrial Fibrilation	13
Heart Failure	0
Chronic Obstructive Pulmonary Disease	9
Diabetes	20
Dementia	0
Cancer	9

Medicare Procedure and Patient Information

2024 Medicare Procedure Volume

Volume of procedures performed by Dr. Louis A. Kazal JR., MD for Medicare patients.

doctor visit	211

2024 Medicare Patient Data

Information about Medicare patients treated by Dr. Louis A. Kazal JR., MD.

**Gender**
Male	86
Female	46

**Ethnicity**
Non-Hispanic White	120
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	60
From 75 to 84	45
85 and over	12
Less than 65	15

Conditions of Medicare patients treated by Dr. Louis A. Kazal JR., MD in 2024

Hypertension	56
High Cholesterol	55
Stroke	0
Ischemic Heart Disease	18
Depression	20
Chronic Kidney Disease	8
Asthma	8
Osteoperosis	11
Atrial Fibrilation	16
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	21
Dementia	0
Cancer	16

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2024

Volume of procedures performed by Dr. Louis A. Kazal JR., MD for Medicare patients.

The highest averages for the top procedures that Dr. Louis A. Kazal JR., MD treated as a family medicine practitioner in Lebanon, NH were removal of lesion (e.g. growth) and skin procedures.

doctor visit	252
removal of lesion (e.g. growth)	13
skin procedures	13

Average Medicare Patient Data From 2012 - 2024

Information about Medicare patients treated by Dr. Louis A. Kazal JR., MD.

**Gender**
Male	82
Female	62

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	21
Hispanic	0
Native American / Alaskan Native	0
Other	0

**Age**
75 to 84	46
85 and over	5
Less than 65	9
65 to 74	68

Average of Total of Conditions of Medicare patients treated by Dr. Louis A. Kazal JR., MD From 2012 - 2024

The highest averages of the most common conditions of Medicare patients that Dr. Louis A. Kazal JR., MD treated were hypertension, high cholesterol, depression and ischemic heart disease.

Hypertension	38
High Cholesterol	30
Stroke	0
Ischemic Heart Disease	17
Depression	17
Chronic Kidney Disease	6
Asthma	4
Osteoporosis	3
Heart Failure	2
Chronic Obstructive Pulmonary Disease	3
Diabetes	16
Atrial Fibrillation	4
Cancer	8
Dementia	0

Education & Training

Dr. Louis A. Kazal JR., MD graduated from Thomas Jefferson University School of Medicine, Philadelphia, PA in 1984. He completed residency at University of Utah School of Medicine, Ogden, UT. He is certified by the Board certification: Integrative Holistic Medicine and has a state license in New Hampshire.

Medical School: Thomas Jefferson University School of Medicine, Philadelphia, PA (1984)

Residency: University of Utah School of Medicine, Ogden, UT (1987)

Board Certification: Board certification: Integrative Holistic Medicine

Licensed In: New Hampshire

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Biography

Dr. Louis Kazal is a specialist in general practice, family medicine, and general pediatrics in Lebanon, NH. Dr. Kazal's areas of expertise include trigger point injection, complementary medicine, and joint injections. He is professionally affiliated with Dartmouth Health. Before performing his residency at a hospital affiliated with the University of Utah, Dr. Kazal attended Thomas Jefferson University, Jefferson Medical College for medical school.