Provider Demographics
NPI:1023423001
Name:GADBOIS, LAURENCE A JR (FNP-C)
Entity type:Individual
Prefix:MR
First Name:LAURENCE
Middle Name:A
Last Name:GADBOIS
Suffix:JR
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2303 LOCKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-7550
Mailing Address - Country:US
Mailing Address - Phone:682-225-0319
Mailing Address - Fax:
Practice Address - Street 1:2303 LOCKSHIRE DR
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-7550
Practice Address - Country:US
Practice Address - Phone:682-225-0319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-27
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP125861363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily