Provider Demographics
NPI:1225400591
Name:ANN K. LAURENT, D.D.S., A.P.M.O.
Entity Type:Organization
Organization Name:ANN K. LAURENT, D.D.S., A.P.M.O.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:K
Authorized Official - Last Name:LAURENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-406-1110
Mailing Address - Street 1:101 W MARTIAL AVE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6708
Mailing Address - Country:US
Mailing Address - Phone:337-406-1110
Mailing Address - Fax:337-406-1113
Practice Address - Street 1:101 W MARTIAL AVE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6708
Practice Address - Country:US
Practice Address - Phone:337-406-1110
Practice Address - Fax:337-406-1113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty