Individual
MISS KIMBERLY A. LESTELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1300 CLEARVIEW PKWY, METAIRIE, LA 70001-3422
(504) 442-5767
Mailing address
1300 CLEARVIEW PKWY, METAIRIE, LA 70001-3422
(504) 442-5767
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LA5051
LA
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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