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Search › Louisiana › 363LF0000X

Blake Larose, FNP

NPI 1366129769 · on the registry since 2023

Practice

Address
400 N Acadia Rd
Thibodaux, LA 70301
Phone
(985) 493-4004
Organisation at this address
Wayne J Pharo A Professional Medical Corporation
Thibodaux Regional Network Development Corporation
Thibodaux Regional Network Development Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-28

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