Individual
MRS. LAURA C MAYEUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2510 BERT KOUNS LOOP, SHREVEPORT, LA 71118-3119
(318) 212-5220
Mailing address
257 FOXTROT DR, MANSFIELD, LA 71052-6509
(318) 871-4525
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP03786
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184276
—
LA
Enumeration date
10/24/2005
Last updated
08/06/2008
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