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Individual

RICKI LACOSTE LINARELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2120 DRIFTWOOD BLVD., KENNER, LA 70065
(985) 892-8934
Mailing address
50 LOUIS PRIMA DR, COVINGTON, LA 70433-5903
(985) 892-8934

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP06801
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05675550
MS
05
2339168
LA
Enumeration date
04/01/2012
Last updated
01/06/2016
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