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Individual

MRS. TAMMI C LABARRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
330 OAK HARBOR BLVD STE D, SLIDELL, LA 70458
(985) 326-1140
(985) 214-9540
Mailing address
PO BOX 1234, SLIDELL, LA 70459-1234
(504) 982-0146

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04598
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1150738
LA
01
19D1083407
CLIA CERTIFICATE OF WAIVER
LA
Enumeration date
09/06/2007
Last updated
10/02/2018
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