Individual
LAUREN MAISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 W THOMAS ST, HAMMOND, LA 70401-3038
(985) 345-2285
Mailing address
706 RUE MARSEILLE, MANDEVILLE, LA 70471-1237
(504) 615-4277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7550
LA
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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