Individual
MR. JUSTIN LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
21455 PLEASANT FOREST BND, PORTER, TX 77365-4779
(832) 542-9187
Mailing address
21455 PLEASANT FOREST BND, PORTER, TX 77365-4779
(832) 542-9187
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344939
TX
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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