Individual
LORI MIKNAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
19065 DR JOHN LAMBERT DR, HAMMOND, LA 70403-0996
(985) 222-5577
(985) 222-3532
Mailing address
650 CASTINE POINT DR, MANDEVILLE, LA 70448-4402
(504) 234-2385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
204297
LA
363LF0000X
Family Nurse Practitioner
Primary
204297
LA
Other
Enumeration date
03/09/2020
Last updated
05/26/2020
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