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NPI Code Detail

MEDICARE: LAURIE ANN HANCOCK NP

MEDICARE: LAURIE ANN HANCOCK NP
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
1363LP0200XPediatric Nurse PractitionerAPO9219LA

General Provider Information

NPI Number : 1073040432
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE ANN HANCOCK NP
Provider Business Mailing Address
First Line : PO BOX 8851
Second Line :
City : CLINTON
State : LA
Zip : 70722-8851
Country : US
Telephone Number : 225-938-3954
Fax Number :
Provider Business Practice Location Address
First Line : 5266 COMMERCE ST BLDG A
Second Line :
City : SAINT FRANCISVILLE
State : LA
Zip : 70775-4409
Country : US
Telephone Number : 225-635-3811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2017
Last Update Date : 09/30/2019

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Directions to “ LAURIE ANN HANCOCK NP” Practice Location

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