Individual
LACI LAFLEUR THEUNISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7855 JEFFERSON HWY, BATON ROUGE, LA 70809-1206
(225) 214-3199
(225) 214-8011
Mailing address
7855 JEFFERSON HWY, BATON ROUGE, LA 70809-1206
(225) 214-3199
(225) 214-8011
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
24471
OK
207N00000X
Dermatology Physician
24598
NE
207N00000X
Dermatology Physician
37739
IA
207N00000X
Dermatology Physician
Primary
MD.204409
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025486000
—
NE
05
—
1002571500
—
NE
05
—
1074161
—
LA
05
—
1386783280
—
IA
05
—
47068731713
—
NE
05
—
47068731746
—
NE
05
—
47068731778
—
NE
05
—
47068731785
—
NE
05
—
47068731795
—
NE
05
—
47068731799
—
NE
Enumeration date
02/06/2007
Last updated
05/07/2021
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