Individual
SARA R LAURENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-3243
(985) 626-8403
Mailing address
330 FOREST LOOP, MANDEVILLE, LA 70471-2632
(985) 630-4860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1386
LA
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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