Individual
HOLLY ELIZABETH SANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2110 OAK BLVD, LAKE CHARLES, LA 70601
(337) 475-0324
Mailing address
1829 S TALLOWOOD DR, LAKE CHARLES, LA 70605-6459
(337) 842-5295
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20101153
LA
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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