Lauren Bacon Doumit, ACNPC-AG
Nurse Practitioner, Adult Health in New Iberia, LA. Individual provider (NPI-1).
NPI number1982164620
StatusActive
Last updated in NPPESApr 9, 2021
Details
- NPI
- 1982164620
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lauren Bacon Doumit
- Credential
- ACNPC-AG
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2019
- Certification date
- Apr 9, 2021
- Last updated
- Apr 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | AP204131 | LA | Yes |
| 363L00000X | Nurse Practitioner | AP204131 | LA | |
| 364SR0400X | Clinical Nurse Specialist, Rehabilitation | AP204131 | LA |
Other names
- Lauren Nicole Bacon (Former Name)
Practice location
531a Jefferson TerNew Iberia, LA 70560-4949
Phone 337-560-0880 · Fax 337-560-0870
Mailing address
531a Jefferson TerNew Iberia, LA 70560-4949
Phone 337-560-0880 · Fax 337-560-0870
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