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LATERICA LASHA ANTOINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
441 HEYMANN BLVD, LAFAYETTE, LA 70503-2611
(337) 289-8429
(337) 289-8431
Mailing address
441 HEYMANN BLVD, LAFAYETTE, LA 70503-2611
(337) 289-8429
(337) 289-8431

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206958
LA

Other

Enumeration date
08/14/2019
Last updated
04/01/2022
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