Individual
MRS. LAURIE C. SICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 230-1682
(985) 230-1617
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-2198
(985) 230-2159
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP01657
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1650676
—
LA
01
—
430059245
RR MEDICARE NUMBER
—
Enumeration date
07/01/2006
Last updated
12/10/2013
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