Individual
LAVORA BABERS-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
1635 MARVEL ST, COUSHATTA, LA 71019
(318) 932-2081
(318) 932-2215
Mailing address
321 KEYSER AVE, NATCHITOCHES, LA 71457-5801
(318) 356-5566
(318) 356-5596
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN082641AP04551
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1621293
—
LA
Enumeration date
06/13/2005
Last updated
06/09/2021
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