Individual
LAURA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3925 I-10 NORTH SERVICE RD WEST, METAIRIE, LA 70002
(504) 250-7655
Mailing address
3925 I-10 NORTH SERVICE RD WEST, METAIRIE, LA 70002
(504) 250-7655
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
LA
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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