Doctor Name: | LAKEN D'NAE DESONIER |
NPI Number: | 1033502497 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | AP08194 |
Business Practice Address: | 3649 S Beglis Pkwy 3645 S. Beglis Pkwy Sulphur, LA - 706658107 |
Business Phone Number: | 3374763149 |
Business Fax Number: | |
Mailing Address: | 3649 S Beglis Pkwy, 3645 S. Beglis Pkwy SULPHUR |
State: | LA |
Postal Code: | 706658107 |
Phone Number: | 3374763149 |
Fax Number: | |
NPI Enumeration Date: | 03/10/2015 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP08194 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |