Individual
EVON MARIE LAVERGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC, IBCLC
Contact information
Practice address
1412 SUNSET DR, LAKE CHARLES, LA 70607-3634
(337) 532-4666
Mailing address
1412 SUNSET DR, LAKE CHARLES, LA 70607-3634
(337) 532-4666
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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