Individual
MRS. LAUREN VYVIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
510 S WASHINGTON ST, BASTROP, LA 71220-5033
(318) 281-8109
(318) 281-8099
Mailing address
510 S WASHINGTON ST, BASTROP, LA 71220-5033
(318) 281-8109
(318) 281-8099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06611
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2193422
—
LA
Enumeration date
10/17/2011
Last updated
08/19/2016
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