Individual
DEBORAH LEBEOUF MIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-FNP-C
Contact information
Practice address
211 N ADAMS AVE, RAYNE, LA 70578-5919
(337) 306-8006
Mailing address
23629 W LONNIE RD, KAPLAN, LA 70548-6398
(337) 849-3742
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09220919
LA
Other
Enumeration date
10/10/2022
Last updated
08/27/2023
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