Individual
LAVONNA PARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
500 RUE DE LA VIE ST STE 405, BATON ROUGE, LA 70817-5128
(225) 928-2555
(225) 929-9685
Mailing address
1117 DICKORY AVE APT G370, RIVER RIDGE, LA 70123-2297
(205) 249-4442
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
212646
LA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
212646
LA
Other
Enumeration date
05/04/2020
Last updated
01/21/2021
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