Healthcare Provider Details

I. General information

NPI: 1013824127
Provider Name (Legal Business Name): LAUREN DALE SHARPE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8369 FLORIDA BLVD STE 7
DENHAM SPRINGS LA
70726-7862
US

IV. Provider business mailing address

8369 FLORIDA BLVD STE 7
DENHAM SPRINGS LA
70726-7862
US

V. Phone/Fax

Practice location:
  • Phone: 225-380-1771
  • Fax: 225-380-1772
Mailing address:
  • Phone: 225-380-1771
  • Fax: 225-380-1772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: