Provider Demographics
NPI:1922348887
Name:BANET, LAUREN GERNAND (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:GERNAND
Last Name:BANET
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:2449 HOSPITAL DR
Mailing Address - Street 2:SUITE 260
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-2399
Mailing Address - Country:US
Mailing Address - Phone:318-212-7840
Mailing Address - Fax:318-212-7845
Practice Address - Street 1:2449 HOSPITAL DR
Practice Address - Street 2:SUITE 260
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-2399
Practice Address - Country:US
Practice Address - Phone:318-212-7840
Practice Address - Fax:318-212-7845
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2021-06-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAPA.200588363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant