Individual
LAUREN COURVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1890 W GAUTHIER RD STE 155, LAKE CHARLES, LA 70605-7119
(337) 480-5550
(337) 480-5568
Mailing address
PO BOX 122539 DEPT 2539, DALLAS, TX 75312-0001
(337) 494-2772
(337) 494-2928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09730
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2463217
—
LA
01
—
AP09730
STATE FNP LICENSE
LA
Enumeration date
01/12/2018
Last updated
04/27/2022
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