Individual
DR. LAURA ELIZABETH MUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(714) 321-0407
Mailing address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(714) 321-0407
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.202246
LA
207R00000X
Internal Medicine Physician
MD.202246
LA
208000000X
Pediatrics Physician
MD.202246
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1098159
—
LA
Enumeration date
05/10/2007
Last updated
04/22/2013
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