Provider Demographics
NPI:1205351137
Name:KIGHT, LAURA LEE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:LEE
Last Name:KIGHT
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 LUCE DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-2862
Mailing Address - Country:US
Mailing Address - Phone:337-781-0384
Mailing Address - Fax:
Practice Address - Street 1:315 AUDUBON BLVD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2610
Practice Address - Country:US
Practice Address - Phone:337-522-7573
Practice Address - Fax:337-210-3058
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09551363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health