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HomeLouisianaLafayetteLAKSAMANA PERINTIS NUSANTARA NP

LP

LAKSAMANA PERINTIS NUSANTARA NPVerified

Family Nurse Practitioner • Doctor

Lafayette, LA

NPI: 1205610607

License: 11027192

Accepting Patients

Credentials & Verification

Verified

Primary Specialty

Family Nurse Practitioner

NPI Number

1205610607

License Number

11027192

Provider Type

Doctor / Physician

Contact Information

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Phone

Address

401 YOUNGSVILLE HWY STE 100
Lafayette, LA 70508