Individual
MRS. SUSAN C COSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 SCHOOL ST, BASTROP, LA 71220-5048
(318) 283-0806
(318) 283-0860
Mailing address
10800 WHITE STAR DR, BASTROP, LA 71220-8616
(318) 556-1098
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN099182
LA
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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