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Individual

MR. MARK DEVIN DRUMMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NPA

Contact information

Practice address
42388 PELICAN PROFESSIONAL PARK, HAMMOND, LA 70403
(985) 542-6251
(985) 345-2386
Mailing address
PO BOX 1799, HAMMOND, LA 70404-1799
(985) 542-6251
(985) 345-2386

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN080575
LA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP05145
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP05145
NP LICENSE
LA
01
RN080575
RN LICENSE
LA
Enumeration date
04/02/2007
Last updated
04/30/2008
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