Individual
DR. LARA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
608 N AVENUE K, CROWLEY, LA 70526-4514
(337) 788-0677
(337) 783-0343
Mailing address
608 N AVENUE K, CROWLEY, LA 70526-4514
(337) 788-0677
(337) 783-0343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6583
LA
Other
Enumeration date
08/07/2015
Last updated
07/06/2016
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