Individual
AMY DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3236 KIRKMAN ST, LAKE CHARLES, LA 70601-8640
(337) 478-6020
(337) 475-4820
Mailing address
3236 KIRKMAN ST, LAKE CHARLES, LA 70601-8640
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN084222
LA
Other
Enumeration date
02/24/2016
Last updated
07/06/2016
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