Provider Demographics
NPI:1407347693
Name:HAYES, ELIZABETH SANDER (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:SANDER
Last Name:HAYES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15770 PAUL VEGA MD DR STE 108B
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-1475
Mailing Address - Country:US
Mailing Address - Phone:985-230-2778
Mailing Address - Fax:985-230-7431
Practice Address - Street 1:15770 PAUL VEGA MD DR STE 108B
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1475
Practice Address - Country:US
Practice Address - Phone:985-230-2778
Practice Address - Fax:985-230-7431
Is Sole Proprietor?:No
Enumeration Date:2018-05-23
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301115148390200000X
LA33605208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program