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NPI Code Detail

MEDICARE: LAQUINYA STIPE NP

MEDICARE: LAQUINYA STIPE 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
1363LF0000XFamily Nurse Practitioner223057LA

General Provider Information

NPI Number : 1407507494
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAQUINYA STIPE NP
Provider Business Mailing Address
First Line : 501 LAPALCO BLVD
Second Line :
City : GRETNA
State : LA
Zip : 70056-7336
Country : US
Telephone Number : 504-393-4376
Fax Number : 504-930-4307
Provider Business Practice Location Address
First Line : 501 LAPALCO BLVD
Second Line :
City : GRETNA
State : LA
Zip : 70056-7336
Country : US
Telephone Number : 504-393-4376
Fax Number : 504-930-4307
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2022
Last Update Date : 05/02/2023

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Directions to “ LAQUINYA STIPE NP” Practice Location

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