BRENT W ALLAIN JR.

OUR LADY OF THE LAKE PHYSICIAN GROUP LLC

Dr BRENT W ALLAIN JR. is a male medical professional, specializing in General Surgery. He graduated in 2002 from Louisiana State University School Of Medicine In New Orleans.

Contact

OUR LADY OF THE LAKE PHYSICIAN GROUP LLC

5000 ODONAVAN BLVD
SUITE 507
WALKER
LA
707856352

Tel: 2252716550

BRENT W ALLAIN JR. Information

Npi 1093923583
Pac Id 2264519057
Professional Enrollment Id I20080403000131
Last Name ALLAIN
First Name BRENT
Middle Name W
Suffix JR.
Gender M
Credential
Medical School Name LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year 2002
Primary Specialty GENERAL SURGERY
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 SUITE 507
Marker Of Address Line 2 Suppression
City WALKER
State LA
Zip Code 707856352
Phone Number 2252716550
Hospital Affiliation Ccn 1 190064
Hospital Affiliation Lbn 1 OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
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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