Individual
LORETTA POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
441 HEYMANN BLVD, LAFAYETTE, LA 70503-2611
(337) 289-8429
(337) 289-8431
Mailing address
441 HEYMANN BLVD, LAFAYETTE, LA 70503-2611
(337) 289-8429
(337) 289-8431
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1190206
LA
Other
Enumeration date
11/11/2019
Last updated
05/11/2020
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