Individual
JOHN EASTERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 230-1369
Mailing address
15790 PAUL VEGA DR, HAMMOND, LA 70403-1434
(985) 230-1683
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10067
LA
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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