Provider Demographics
NPI:1932249380
Name:FRICKE, LAURIE L (DDS)
Entity type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:L
Last Name:FRICKE
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:2301 N HIGHWAY 190
Mailing Address - Street 2:SUITE 7
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-9061
Mailing Address - Country:US
Mailing Address - Phone:985-892-2081
Mailing Address - Fax:985-892-5248
Practice Address - Street 1:2301 N HIGHWAY 190
Practice Address - Street 2:SUITE 7
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-9061
Practice Address - Country:US
Practice Address - Phone:985-892-2081
Practice Address - Fax:985-892-5248
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA41791223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics