Individual
LAUREN JANE MICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
102 THOMAS RD, SUITE 117, WEST MONROE, LA 71291-7366
(318) 322-9882
(318) 322-2006
Mailing address
102 THOMAS RD, SUITE 117, WEST MONROE, LA 71291-7366
(318) 322-9882
(318) 322-2006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.016358
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441546
—
LA
Enumeration date
06/30/2006
Last updated
02/04/2014
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