Individual
LANIE VAUGHN CROTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7777 HENNESSY BLVD STE 301, BATON ROUGE, LA 70808-0319
(866) 561-8215
Mailing address
31913 DUNN RD, DENHAM SPRINGS, LA 70726-1537
(225) 963-0272
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
218849
LA
Other
Enumeration date
04/06/2021
Last updated
01/16/2025
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