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Individual

ANN M LEDET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1057 PAUL MAILLARD RD, LULING, LA 70070-4349
(504) 842-4000
Mailing address
1057 PAUL MAILLARD RD, LULING, LA 70070-4349
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP05760
LA
363L00000X
Nurse Practitioner
Primary
RN077111
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07903791
MS
05
1493384
LA
Enumeration date
03/26/2009
Last updated
11/02/2009
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