Individual
LAURA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
855 BELANGER ST STE 108, HOUMA, LA 70360-4401
(985) 868-2302
Mailing address
127 RUE SAIA, HOUMA, LA 70360-1401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
203599
LA
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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