LAKSAMANA NUSANTARA

NP specializing in nurse practitioner in Crowley, Louisiana

NPI: 1205610607

Provider Type

1

Practice Locations

Mailing Location

1307 CROWLEY RAYNE HWY

CROWLEY, LA 70526

📞 3372504710

Practice Location

1307 CROWLEY RAYNE HWY STE C

CROWLEY, LA 70526

📞 3372504710

Provider Information

Gender:M
Sole Proprietor:No
Enumeration Date:8/24/2023
Last Updated:5/30/2024

Credentials

Primary Credential:NP