JOHNATHAN THERON LARROQUETTE

LAFAYETTE, LA
NPI1073060125
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  234407)
Enumeration Date2016-09-07
Last Update Date2024-10-09
Business Address
Mr. JOHNATHAN THERON LARROQUETTE PMHNP
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503-2621
Phone number: 337-289-7991
Mailing Address
Mr. JOHNATHAN THERON LARROQUETTE PMHNP
107 DUMOND LN
LAFAYETTE, LA 70503-5913
Phone number: 985-247-1394
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