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1225811839
LEA C TAN
PRAIRIEVILLE, LA
NPI
1225811839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 232140)
Enumeration Date
2023-08-16
Last Update Date
2023-08-16
Business Address
LEA C TAN
42112 EAGLES VIEW LN
PRAIRIEVILLE, LA 70769-6070
Phone number: 225-241-3043
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Mailing Address
LEA C TAN
42112 EAGLES VIEW LN
PRAIRIEVILLE, LA 70769-6070
Phone number: 225-241-3043
Copy
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