Individual
MRS. HOLLY MERRILL LEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RVT
Contact information
Practice address
320 CASCADE DR, THIBODAUX, LA 70301-9422
(985) 413-9770
Mailing address
320 CASCADE DR, THIBODAUX, LA 70301-9422
(985) 413-9770
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
140885
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46-1900980
STATE OF LOUISIANA
LA
Enumeration date
06/13/2017
Last updated
07/21/2022
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