Individual
SPRING N LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1812 KIRKMAN ST, LAKE CHARLES, LA 70601-6251
(337) 912-8585
Mailing address
1923 GREENE AVE, WESTLAKE, LA 70669-3607
(337) 912-8585
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
226425
LA
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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