HAILEY R ENTREMONT

OUR LADY OF LAKE ASCENSION, LLC

Dr HAILEY R ENTREMONT is a female medical professional, specializing in Nurse Practitioner. She graduated in 2010.

Contact

OUR LADY OF LAKE ASCENSION, LLC

2647 S ST ELIZABETH BOULEVARD
SUITE 100
GONZALES
LA
707375019

Tel: 2256478511

HAILEY R ENTREMONT Information

Npi 1104120138
Pac Id 6103005863
Professional Enrollment Id I20110126001040
Last Name ENTREMONT
First Name HAILEY
Middle Name R
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2010
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 LAKE ASCENSION, LLC
Group Practice Pac Id 3577452259
Number Of Group Practice Members 67
Line 1 Street Address 2647 S ST ELIZABETH BOULEVARD
Line 2 Street Address SUITE 100
Marker Of Address Line 2 Suppression
City GONZALES
State LA
Zip Code 707375019
Phone Number 2256478511
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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