Individual
LETHA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
948 CAMBRIDGE DR STE 102, LA PLACE, LA 70068-3647
(985) 652-7717
Mailing address
948 CAMBRIDGE DR STE 102, LA PLACE, LA 70068-3647
(954) 492-7150
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
RT0004241
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2138910
—
LA
Enumeration date
11/18/2011
Last updated
04/21/2023
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