DR. Lara Henderson, DDS

NPI #1205212750 in Crowley, Louisiana

Provider Information

NPI Number: 1205212750
Entity Type: Individual
Name: DR. Lara Henderson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 7, 2015
Last Updated: Jul 6, 2016

Practice Location

Address: 608 N AVENUE K
City: Crowley
State: Louisiana
ZIP Code: 70526-4514
Phone: (337) 788-0677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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