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Individual

LEAH LYN FITZGERALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3654 GOVERNMENT ST STE 5, ALEXANDRIA, LA 71302-3324
(318) 613-5190
Mailing address
3654 GOVERNMENT ST STE 5, ALEXANDRIA, LA 71302-3324
(318) 613-5190

Taxonomy

Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
RN056512
LA
225700000X
Massage Therapist
LA8117
LA

Other

Enumeration date
05/15/2019
Last updated
05/15/2019
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