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Individual

JOSEPH W DELAUGHTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
59215 RIVER WEST DR, PLAQUEMINE, LA 70764-6552
(225) 954-5596
Mailing address
8733 SIEGEN LN # 104, BATON ROUGE, LA 70810-1945
(225) 954-5596

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05668
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1578703674
NPI
LA
05
1800660
LA
Enumeration date
03/02/2009
Last updated
07/09/2019
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