Provider Demographics
NPI:1033705611
Name:DUHON, ANNA STURLESE (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:STURLESE
Last Name:DUHON
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 GLASGOW DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6589
Mailing Address - Country:US
Mailing Address - Phone:337-280-9304
Mailing Address - Fax:
Practice Address - Street 1:301 GLASGOW DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6589
Practice Address - Country:US
Practice Address - Phone:337-280-9304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN141424163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant