Individual
LAURA DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
321 N THEARD ST, COVINGTON, LA 70433-2835
(227) 698-5892
Mailing address
321 N THEARD ST, COVINGTON, LA 70433-2835
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
151255
LA
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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