Dr MARY MANCUSO HEAROD is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.
DIGESTIVE HEALTH CENTER OF SWLA
2615 ENTERPRISE BLVD B
LAKE CHARLES
LA
706017686
Tel: 3374944785
| Npi | 1144760414 |
| Pac Id | 0345526984 |
| Professional Enrollment Id | I20170413000562 |
| Last Name | HEAROD |
| First Name | MARY |
| Middle Name | MANCUSO |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | DIGESTIVE HEALTH CENTER OF SWLA |
| Group Practice Pac Id | 3072782713 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 2615 ENTERPRISE BLVD B |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 706017686 |
| Phone Number | 3374944785 |
| Hospital Affiliation Ccn 1 | 190060 |
| Hospital Affiliation Lbn 1 | LAKE CHARLES MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 190013 |
| Hospital Affiliation Lbn 2 | WEST CALCASIEU CAMERON 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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