LAQUINTEN PETERSON

BASTROP, LA
NPI1154015329
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: LA  229719)
Enumeration Date2023-06-08
Last Update Date2023-08-17
Business Address
LAQUINTEN PETERSON NP
323 W WALNUT AVE
BASTROP, LA 71220-4521
Phone number: 318-218-6077
Mailing Address
LAQUINTEN PETERSON NP
PO BOX 293
BASTROP, LA 71221-0293
Phone number: 318-283-3910
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