Individual
DR. LAURA CRUMP FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
340 WEBB SMITH DR, COLFAX, LA 71417-1910
(318) 627-5021
(318) 627-5999
Mailing address
PO BOX 1288, WINNFIELD, LA 71483-1288
(318) 648-0375
(318) 648-0378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
304116
LA
Other
Enumeration date
09/26/2006
Last updated
01/12/2017
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