Individual
LAUREN BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4150 NELSON RD STE 2, LAKE CHARLES, LA 70605-4148
(337) 459-6765
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
221453
LA
363LA2100X
Acute Care Nurse Practitioner
Primary
221453
LA
363LF0000X
Family Nurse Practitioner
221453
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720753940
—
LA
Enumeration date
08/10/2021
Last updated
07/13/2022
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