Individual
DARIEN LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1820 MONTBATTEN DR, MARRERO, LA 70072-4518
(504) 645-6600
Mailing address
PO BOX 1281, HARVEY, LA 70059-1281
(504) 552-7125
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
011343155
LA
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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