LORETTA POLK

LAFAYETTE, LA
NPI1306481684
Former NameLORETTA FORWARD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  1190206)
Enumeration Date2019-11-11
Last Update Date2020-05-11
Business Address
LORETTA POLK FNP
441 HEYMANN BLVD
LAFAYETTE, LA 70503-2611
Phone number: 337-289-8429
Mailing Address
LORETTA POLK FNP
441 HEYMANN BLVD
LAFAYETTE, LA 70503-2611
Phone number: 337-289-8429
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