Healthcare Provider Details

I. General information

NPI: 1467368035
Provider Name (Legal Business Name): HUNTER HART LAWRENCE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 VALLERY LN
PINEVILLE LA
71360-3558
US

IV. Provider business mailing address

1300 VALLERY LN
PINEVILLE LA
71360-3558
US

V. Phone/Fax

Practice location:
  • Phone: 318-955-3808
  • Fax: 318-936-6195
Mailing address:
  • Phone: 318-955-3808
  • Fax: 318-936-6195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: