Healthcare Provider Details

I. General information

NPI: 1447176672
Provider Name (Legal Business Name): KATHERINE LALLIER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 5TH ST
LULING LA
70070-4452
US

IV. Provider business mailing address

432 LONGWOOD DR
DESTREHAN LA
70047-5043
US

V. Phone/Fax

Practice location:
  • Phone: 985-785-6011
  • Fax:
Mailing address:
  • Phone: 504-458-3992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7806
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: