Individual
MR. LESLIE B FREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4150 NELSON ROAD, A-4, LAKE CHARLES, LA 70605-4196
(337) 478-2124
(337) 477-7616
Mailing address
4150 NELSON ROAD, BUILDING A SUITE 4, LAKE CHARLES, LA 70605-4196
(337) 478-2124
(337) 477-7616
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
01329
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1393614
—
LA
Enumeration date
02/23/2007
Last updated
04/04/2011
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