Youngsville Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

13797R Issued in LA

Legal business name

YOUNGSVILLE PEDIATRICS LLC

Practice address

814 Fortune Rd Ste 108
Youngsville, LA 70592-5542

Phone

(337) 857-5096

Fax

(337) 857-5098

NPI assigned

Jul 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sarah U Laurente, MD

Title

Owner/Manager

Phone

(337) 857-5096

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1629268396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 FORTUNE RD STE 108",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925542",
            "telephone_number": "337-857-5096",
            "fax_number": "337-857-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 FORTUNE RD STE 108",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925542",
            "telephone_number": "337-857-5096",
            "fax_number": "337-857-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGSVILLE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "LAURENTE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "337-857-5096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "13797R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1430960",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Youngsville, LA
• Providers in Youngsville, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.