Provider Demographics
NPI:1750323754
Name:LABICHE, CYNTHIA D (NP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:D
Last Name:LABICHE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1737
Mailing Address - Street 2:
Mailing Address - City:SCOTT
Mailing Address - State:LA
Mailing Address - Zip Code:70583-1737
Mailing Address - Country:US
Mailing Address - Phone:337-541-0002
Mailing Address - Fax:337-541-0082
Practice Address - Street 1:913 ALFRED ST
Practice Address - Street 2:
Practice Address - City:SCOTT
Practice Address - State:LA
Practice Address - Zip Code:70583-5117
Practice Address - Country:US
Practice Address - Phone:375-410-0023
Practice Address - Fax:337-541-0082
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP04893363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4H815OtherMEDICARE
LA1527289Medicaid