Provider Demographics
NPI:1093595191
Name:LAURENT, CHRISTIAN REYNALD
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:REYNALD
Last Name:LAURENT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 S JACKSON STREET
Mailing Address - Street 2:2ND FLOOR ACB-DEPARTMENT OF SURGERY/PLASTICS
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:550 S JACKSON STREET
Practice Address - Street 2:2ND FLOOR ACB-DEPARTMENT OF SURGERY/PLASTICS
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202
Practice Address - Country:US
Practice Address - Phone:770-870-8547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program