Individual
LANNIE CUMBO GUIDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6363 ST. CHARLES AVE, NEW ORLEANS, LA 70118
(504) 865-3326
(504) 340-4305
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
(504) 340-4305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP07036
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06405201
—
MS
05
—
2306715
—
LA
Enumeration date
08/14/2012
Last updated
04/28/2014
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