Individual
MOLLY MARIE PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 898-4000
Mailing address
409 BROWN THRASHER LOOP S, MADISONVILLE, LA 70447-3046
(985) 750-1973
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
219190
LA
363LC0200X
Critical Care Medicine Nurse Practitioner
219190
LA
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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