Individual
LAURA DAVIS HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
311 VETERANS BLVD, SUITE B, DENHAM SPRINGS, LA 70726-4722
(225) 665-4554
(225) 655-6995
Mailing address
311 VETERANS BLVD, SUITE B, DENHAM SPRINGS, LA 70726-4722
(225) 665-4554
(225) 655-6995
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN100808 AP04665
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1620891
—
LA
Enumeration date
07/14/2005
Last updated
03/25/2021
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