Individual
EMILY GRANGER THIBODEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
826 N HUVAL DR, LAKE CHARLES, LA 70611-5254
(337) 313-9344
Mailing address
826 N HUVAL DR, LAKE CHARLES, LA 70611-5254
(337) 313-9344
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06250741
LA
Other
Enumeration date
06/14/2025
Last updated
06/14/2025
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