Individual
DIANIA BORDELON LAUBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
15733 ELDERWOOD AVE, BATON ROUGE, LA 70816-3023
(225) 753-0877
(225) 753-0877
Mailing address
15733 ELDERWOOD AVE, BATON ROUGE, LA 70816-3023
(225) 753-0877
(225) 753-0877
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
028979
LA
Other
Enumeration date
12/07/2006
Last updated
07/08/2007
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