Individual
MR. LARRY JAMES PETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 873-2200
Mailing address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 872-5246
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN046689
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1905674
—
LA
Enumeration date
11/05/2006
Last updated
05/20/2014
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