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1124603154
LESLEY REVIERE OTT
BATON ROUGE, LA
NPI
1124603154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 218811)
Enumeration Date
2021-03-11
Last Update Date
2021-03-19
Business Address
LESLEY REVIERE OTT NP
6411 PERKINS RD STE 100
BATON ROUGE, LA 70808-4125
Phone number: 225-303-9500
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Mailing Address
LESLEY REVIERE OTT NP
12581 THREE LAKES DR
WALKER, LA 70785-8214
Phone number: 337-580-2064
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