Individual
CASSANDRA LAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4781 S GRAND ST, MONROE, LA 71202-6403
(318) 362-5185
Mailing address
3000 EVANGELINE ST, APT NO.208, MONROE, LA 71201-3800
(318) 388-1851
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200663
LA
Other
Enumeration date
10/14/2006
Last updated
07/08/2007
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