Individual
MRS. LANA G. DIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5001 WESTBANK EXPY, MARRERO, LA 70072-2954
(504) 349-8708
(504) 349-8703
Mailing address
5001 WESTBANK EXPY, MARRERO, LA 70072-2954
(504) 349-8708
(504) 349-8703
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2606
LA
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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