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Individual

MARY SAMANTHA DARBONNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
4865 KINGSPOINT DR, LAKE CHARLES, LA 70605-5985
(337) 474-9756
Mailing address
4865 KINGSPOINT DR, LAKE CHARLES, LA 70605-5985
(337) 370-6829

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
219390
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2581767
LA
Enumeration date
04/22/2021
Last updated
06/30/2026
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