Individual
HEATHER ADALYNNE LUPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 487-1122
Mailing address
5036 ROACH CT APT B, FORT JOHNSON, LA 71459-3867
(985) 981-1549
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
234473
LA
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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