Individual
LESLIE MCLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 WOMANS WAY, BATON ROUGE, LA 70817-5100
(225) 293-2523
(225) 293-1807
Mailing address
2644S SHERWOOD FOREST BLVD 121, BATON ROUGE, LA 70816-2248
(225) 293-2523
(225) 293-1807
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
095969
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194905
—
LA
Enumeration date
10/04/2006
Last updated
07/22/2015
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