Individual
DR. DENNIS A LARAVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 CARTER STREET, VIDALIA, LA 71373
(318) 336-4780
(318) 336-4783
Mailing address
900 CARTER STREET, VIDALIA, LA 71373
(318) 336-4780
(318) 336-4783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12072
LA
Other
Enumeration date
03/09/2006
Last updated
10/01/2013
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