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Individual

COLLEEN BUSBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
8369 FLORIDA BLVD, STE 1, DENHAM SPRINGS, LA 70726-7862
(225) 665-5149
(225) 667-1770
Mailing address
8369 FLORIDA BLVD, STE 1, DENHAM SPRINGS, LA 70726-7862
(225) 665-5149
(225) 667-1770

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
980979
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
980979
NURSE LIC
LA
Enumeration date
09/15/2014
Last updated
09/15/2014
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