Most Relevant Information
Provider Data
| NPI Number: | 1003567611 |
| Provider Name: | LAURA BEAM BANKSTON |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/14/2022 |
| Last Updated: | 01/14/2022 |
Provider Practice Location
1100 WEBSTER ST
DONALDSONVILLE
LA
703462754
Practice Location Phone/Fax
| Phone: | 2253917000 |
| Fax: |
Provider Mailing Location
1100 WEBSTER ST
DONALDSONVILLE
LA
703462754
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |