Individual
DR. JESSICA LAUREN MAGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
3149 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-7209
(337) 706-3415
(337) 706-3460
Mailing address
3149 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-7209
(337) 706-3415
(337) 706-3460
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913299168A
—
GA
05
—
913299168B
—
GA
Enumeration date
09/25/2006
Last updated
03/15/2023
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