Individual
LAURA M HAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2750 GAUSE BLVD E, SLIDELL, LA 70461-4149
(985) 639-3777
(985) 661-3520
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA200553
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08885358
—
MS
05
—
2312928
—
LA
Enumeration date
08/13/2012
Last updated
06/28/2016
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