Individual
MRS. LYNNETTE FAITH DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-FNP
Contact information
Practice address
4242 HIGHWAY 19 STE C, ZACHARY, LA 70791-3981
(225) 654-6140
(225) 654-6122
Mailing address
18989 OLD SCENIC HWY, ZACHARY, LA 70791-8105
(225) 654-6140
(225) 654-6122
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN111120
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2138278
—
LA
Enumeration date
10/28/2010
Last updated
03/25/2021
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