Individual
LAURA BUGGAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 HICKORY ST, THIBODAUX, LA 70301-2011
(985) 446-2936
Mailing address
112 FOLEY AVE, NAPOLEONVILLE, LA 70390-2021
(225) 717-2388
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20150350
LA
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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