Individual
LAUREN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
732 YOUNG ST, YOUNGSVILLE, LA 70592-5501
(337) 205-7777
Mailing address
8951 RUE BLANC, ABBEVILLE, LA 70510-2293
(337) 658-8702
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0811316
LA
Other
Enumeration date
05/01/2012
Last updated
03/20/2019
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