Individual
PATTY MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 981-9295
(337) 981-9296
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 981-9295
(337) 981-9296
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-104218
AL
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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