Individual
LAUREN KRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1436
(985) 345-2700
Mailing address
41046 RENEE DR, PONCHATOULA, LA 70454-6328
(985) 981-0206
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
350454
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350454
LICENSE
LA
Enumeration date
03/12/2026
Last updated
03/18/2026
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