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Individual

MRS. LAURA B WILLSHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, APRN

Contact information

Practice address
3400 MEDICAL PARK DR STE B, MONROE, LA 71203-2300
(318) 387-6803
(318) 387-6874
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP02470
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
55101
LA
Enumeration date
04/07/2006
Last updated
06/13/2019
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