Individual
LAUREN GRACE DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 N AIRLINE HWY, GONZALES, LA 70737-3009
(225) 647-0515
Mailing address
15111 HIGHLAND RD, BATON ROUGE, LA 70810-5526
(225) 588-9484
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PNT.048016
LA
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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