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General NPI Number Information
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NPI Number | 1811844582
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Entity Type | Individual
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Provider Name | LAUREN KRAFT
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Gender | Female
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 15790 PAUL VEGA MD DR
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City | HAMMOND
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State | LA
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Zip | 70403-1436
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Country | US
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Telephone | 985-345-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 41046 RENEE DR
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City | PONCHATOULA
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State | LA
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Zip | 70454-6328
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Country | US
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Telephone | 985-981-0206
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 350454
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License Number State | LA
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