Individual
MRS. JERETA JAMES LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3402 MAGNOLIA CV, MONROE, LA 71203-2374
(318) 812-1250
(318) 322-1249
Mailing address
210 OWENS RD, WEST MONROE, LA 71292-1349
(318) 614-2758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06477
LA
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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