License holder summary

Fountain Carly Rae is a Medical licensed to practice in Louisiana. The address on file for Fountain Carly Rae is The Pediatric Center of SWLA, 600 Cypress St., Sulphur, LA 70663.

Louisiana

Board of Licensing

Fountain Carly Rae
Medical
License number
CLP.203784-LAB
Date expires
12/31/2014
Class
Medical
Status
Active
Address
The Pediatric Center of SWLA, 600 Cypress St., Sulphur, LA 70663
louisianalicensing.com
ID 21824765
LAST UPDATED 2026-05-07 05:24:25 UTC

This website is unaffiliated with Louisiana and its licensing agencies. Please verify all information directly with the relevant official government authority.

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