Individual
LESLIE JEAN SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2300 HOSPITAL DR, SUITE 320, BOSSIER CITY, LA 71111-2166
(318) 212-7848
(318) 212-7855
Mailing address
2300 HOSPITAL DR, SUITE 320, BOSSIER CITY, LA 71111-2166
(318) 212-7848
(318) 212-7855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
021572
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1658855
—
LA
Enumeration date
06/09/2006
Last updated
04/29/2014
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