Provider Demographics
NPI:1508408477
Name:DUFOUR, LAUREN DAVIS (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:DAVIS
Last Name:DUFOUR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 NORTH DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-4809
Mailing Address - Country:US
Mailing Address - Phone:984-807-4364
Mailing Address - Fax:
Practice Address - Street 1:179 HIGHWAY 22 E
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70447-4202
Practice Address - Country:US
Practice Address - Phone:985-807-4364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-11
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA059936163W00000X
LA222183363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse