Healthcare Provider Details

I. General information

NPI: 1851032999
Provider Name (Legal Business Name): LAUREN A ARTEAGA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 E OAK ST
PONCHATOULA LA
70454-2619
US

IV. Provider business mailing address

105 E OAK ST
PONCHATOULA LA
70454-2619
US

V. Phone/Fax

Practice location:
  • Phone: 985-386-6198
  • Fax:
Mailing address:
  • Phone: 985-386-6198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number224492
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: