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Linda Crockett

NPI 1063746915 · on the registry since 2009 · sole proprietor

Practice

Address
3734 La Highway 1 S
Port Allen, LA 70767
Phone
(225) 288-3739

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-09-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana