Individual
MR. LARRY JOE HALEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEDICAL PLAZA PL, MINDEN, LA 71055-3330
(318) 377-2321
(318) 371-3219
Mailing address
391 POST OAK LN, MINDEN, LA 71055-8808
(318) 371-2725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
31805
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1901253
—
LA
Enumeration date
01/19/2006
Last updated
07/08/2007
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