Individual
DR. LORRA M. PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2516 BROADMOOR BLVD, MONROE, LA 71201-2988
(318) 812-1125
Mailing address
130 DESIARD STREET, SUITE 355, MONROE, LA 71201
(318) 807-7875
(318) 410-8093
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3110
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1136964
—
LA
Enumeration date
09/15/2006
Last updated
07/21/2022
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