Individual
LAKARA JOVARN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
332 S ACADIAN THRUWAY, BATON ROUGE, LA 70806-5021
(225) 256-4447
(225) 256-4443
Mailing address
332 S ACADIAN THRUWAY, BATON ROUGE, LA 70806-5021
(225) 256-4447
(225) 256-4443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4555
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1845558
—
LA
01
—
C9373
BCBS
LA
Enumeration date
05/03/2007
Last updated
12/20/2023
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