Individual
LAWRENCE STANSBERRY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
926 AMELIA ST, GRETNA, LA 70053-5528
(504) 368-9787
Mailing address
926 AMELIA ST, GRETNA, LA 70053-5528
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
309068
LA
Other
Enumeration date
04/02/2018
Last updated
07/09/2020
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