Individual
LAUREN TAYLOR DUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2449 HOSPITAL DR STE 200, BOSSIER CITY, LA 71111-1905
(318) 212-7841
Mailing address
2050 STOCKWELL RD APT 2, BOSSIER CITY, LA 71111-5781
(318) 519-6879
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
337662
NCCPA
LA
Enumeration date
08/11/2023
Last updated
06/10/2024
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