Individual
DR. LAURI BREAUD DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5683 HIGHWAY 311, HOUMA, LA 70360-5595
(985) 868-5699
Mailing address
2009 POLK ST, HOUMA, LA 70360-6020
(985) 665-1550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5889 C1
AL
122300000X
Dentist
6151
LA
1223G0001X
General Practice Dentistry
Primary
6151
LA
Other
Enumeration date
05/24/2011
Last updated
04/07/2022
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