Larose, Nicole Graugnard

Larose, Nicole Graugnard is an sole proprietor health care provider with primary practice located at 1808 Bayou Rd , Thibodaux LA 70301-6034. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Larose, Nicole Graugnard can be contacted via phone (985) 497-3224.

Contact Information

Primary practice address
1808 Bayou Rd Thibodaux LA 70301-6034
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3254 Louisiana

Profile Details

NPI number 1225249469
LBN Legal business name Larose, Nicole Graugnard
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225249469 NPPES
Louisiana MEDICAID 1409405

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