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NPI Code Detail

MEDICARE: LAURI GARRETT NP-C

MEDICARE: LAURI GARRETT NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner220853LA

General Provider Information

NPI Number : 1063082279
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURI GARRETT NP-C
Provider Business Mailing Address
First Line : 1169 HIGHWAY 19
Second Line :
City : SLAUGHTER
State : LA
Zip : 70777-3404
Country : US
Telephone Number : 225-570-2257
Fax Number :
Provider Business Practice Location Address
First Line : 1169 HIGHWAY 19
Second Line :
City : SLAUGHTER
State : LA
Zip : 70777-3404
Country : US
Telephone Number : 225-570-2257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2021
Last Update Date : 06/30/2021

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