NPI 1033742432

Laversia Theresa Landry

Practitioner Peer Specialist Lafayette, LA

Practice location

Address: 1017 Saint John St, Lafayette, LA 70501-6711
Phone: (337) 261-2300
Mailing address: 8326 Kelwood Ave, Baton Rouge, LA 70806-4803

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1033742432
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Feb 2020
Record last updated: 14 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.