Individual
LAURA DUVAL GROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18331 HWY 182 WEST, BALDWIN, LA 70514
(337) 924-9418
(337) 924-9165
Mailing address
1115 WEBER ST, FRANKLIN, LA 70538-4124
(337) 828-2550
(337) 355-2335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
200300
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2135104
—
LA
01
—
PG39
MEDICARE
LA
Enumeration date
10/12/2009
Last updated
06/20/2022
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