Individual
LESLEE S LODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
239 BOWLING GREEN RD, LEXINGTON, MS 39095-5167
(662) 834-5166
(662) 834-5317
Mailing address
2534 ATTALA ROAD 2247, KOSCIUSKO, MS 39090-4851
(662) 834-5166
(662) 834-5317
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 1540
MS
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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