Individual
LAURA BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3909 LAPALCO BLVD STE 100, HARVEY, LA 70058-2377
(504) 349-6900
Mailing address
3909 LAPALCO BLVD STE 100, HARVEY, LA 70058-2377
(504) 349-6900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
344216
LA
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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