Organization · Type 2 NPI
Johnathan Larroquette LLC
Psychiatric/Mental Health Nurse Practitioner · Lafayette, LA
NPI number
1679310072
Active
Practice location
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Mailing address
PO Box 51906
Lafayette, LA 70505-1906
Other practice locations
- 107 Dumond Ln, Lafayette, LA 70503-5913 · (985) 247-1394
- 1405 W Pinhook Rd Ste 107, Lafayette, LA 70503-3100 · (337) 232-9457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1679310072
Johnathan Larroquette LLC's National Provider Identifier is 1679310072, issued on Jul 11, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lafayette, LA. The record was last updated on Oct 9, 2024.