Individual
CASEY PAYNE LANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8839 BLACK BIRCH AVE, ZACHARY, LA 70791-8352
(225) 278-5111
Mailing address
8839 BLACK BIRCH AVE, ZACHARY, LA 70791-8352
(225) 278-5111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
203934
LA
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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