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Individual

MRS. HEATHER SMITH ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8328
(337) 433-2031
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8360
(337) 312-6708

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07818
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2366998
LA
Enumeration date
05/09/2014
Last updated
11/12/2014
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