Individual
LAURA MARIE BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12351 INDUSTRIPLEX BLVD, BATON ROUGE, LA 70809
(225) 926-4400
(225) 246-9116
Mailing address
7373 PERKINS RD, BATON ROUGE, LA 70808-4373
(225) 246-9790
(225) 246-9100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
204633
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2156878
—
LA
Enumeration date
06/19/2008
Last updated
01/27/2021
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