Individual
COREY GRANT LAUCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(800) 893-9698
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN098029
LA
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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