HOLLY VALENTINE

OUR LADY OF THE LAKE PHYSICIAN GROUP LLC

Dr HOLLY VALENTINE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2015.

Contact

OUR LADY OF THE LAKE PHYSICIAN GROUP LLC

5000 ODONAVAN BLVD
WALKER
LA
707856355

Tel:

HOLLY VALENTINE Information

Npi 1043678550
Pac Id 8022301431
Professional Enrollment Id I20160722000904
Last Name VALENTINE
First Name HOLLY
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
Group Practice Pac Id 4587849781
Number Of Group Practice Members 439
Line 1 Street Address 5000 ODONAVAN BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City WALKER
State LA
Zip Code 707856355
Phone Number
Hospital Affiliation Ccn 1 190064
Hospital Affiliation Lbn 1 OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 190242
Hospital Affiliation Lbn 2 ST ELIZABETH HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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