Individual
TARA LYNE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(337) 494-3000
Mailing address
36 EUCALYPTUS ST, SULPHUR, LA 70663-5508
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
206257
LA
363L00000X
Nurse Practitioner
Primary
206257
LA
Other
Enumeration date
05/28/2025
Last updated
10/09/2025
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