Healthcare Provider Details

I. General information

NPI: 1467034587
Provider Name (Legal Business Name): LAUREN D STOKES PHD MP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2021
Last Update Date: 08/10/2021
Certification Date: 08/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 WINDERMERE BLVD STE A
ALEXANDRIA LA
71303-3583
US

IV. Provider business mailing address

140 WINDERMERE BLVD STE A
ALEXANDRIA LA
71303-3583
US

V. Phone/Fax

Practice location:
  • Phone: 785-979-2667
  • Fax:
Mailing address:
  • Phone: 318-545-7255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. LAUREN DRERUP STOKES
Title or Position: OWNER/MEDICAL PSYCHOLOGIST
Credential: PHD, MP
Phone: 318-545-7255