Individual
LAUREN MASSULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 WIEGAND DR, BRIDGE CITY, LA 70094-3432
(504) 487-6767
(504) 487-6767
Mailing address
1104 WIEGAND DR, BRIDGE CITY, LA 70094-3432
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
243068
LA
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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