Individual
LAURIE KIRKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5541 HIGHWAY 1, MARKSVILLE, LA 71351-2650
(318) 240-7240
(318) 240-7118
Mailing address
919 HIDDEN RDG, 6TH FLOOR, IRVING, TX 75038-3813
(469) 282-2711
(468) 282-2609
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07722
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2366939
—
LA
Enumeration date
03/25/2014
Last updated
07/08/2014
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