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Ms. Desiree Alis Kavanaugh, LPN
Licensed Practical Nurse in Hammond, Louisiana
NPI 1275128258

Desiree Alis Kavanaugh is a Licensed Practical Nurse based in Hammond, LA. Desiree Alis Kavanaugh practices in Hammond, LA and has the professional credentials of LPN. The NPI Number for Desiree Alis Kavanaugh is 1275128258 and holds a License No. 280475 (Louisiana).

The current practice location address for Desiree Alis Kavanaugh is 615 Pride Dr, Hammond, LA and can be reached out via phone at 985-419-1666 and via fax at 985-429-8999.

Location: 615 Pride Dr, Hammond, LA, 70401-9523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275128258
Provider Name
Desiree Alis Kavanaugh
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
615 Pride Dr, Hammond, LA, 70401-9523
Phone Number
985-419-1666
Fax Number
985-429-8999
Provider Enumeration Date
03/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
615 Pride Dr
City
Hammond
State
Louisiana
Zip
70401-9523
Phone Number
985-419-1666
Fax Number
985-429-8999
person
Provider Business Mailing Address Details
Address
615 Pride Dr
City
Hammond
State
Louisiana
Zip
70401-9523
Phone Number
985-419-1666
Fax Number
985-429-8999
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
280475 (Louisiana)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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