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Individual
MRS. LAUREN BACON DOUMIT
Active
Individual
MRS. LAUREN BACON DOUMIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP204131
LA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP204131
LA
364SR0400X
Rehabilitation Clinical Nurse Specialist
AP204131
LA
Other
Enumeration date
03/20/2019
Last updated
04/09/2021
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