Individual provider · Type 1 NPI
Lara Cornelia Thibodeaux, NP
Family Nurse Practitioner · Franklin, TX
NPI number
1902894595
Active
Practice location
808 W US Highway 79, 2880
Franklin, TX 77856
Fax (979) 828-3006
Mailing address
1500 University Dr E, Suite 100
College Station, TX 77840-2600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 593517 (TX) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Franklin
About NPI 1902894595
Lara Cornelia Thibodeaux, NP's National Provider Identifier is 1902894595, issued on Oct 8, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Franklin, TX. The record was last updated on Feb 13, 2019.