LOUELLA M JACKSON

LAKE CHARLES, LA
NPI1871630004
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: LA  AP03007)
Enumeration Date2007-01-30
Last Update Date2018-08-01
Business Address
LOUELLA M JACKSON FNPC
2000 OPELOUSAS ST
LAKE CHARLES, LA 70601
Phone number: 337-439-9983
Mailing Address
LOUELLA M JACKSON FNPC
2000 OPELOUSAS ST
LAKE CHARLES, LA 70601-2641
Phone number: 337-439-9983
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