Individual
MRS. JANET TYCER LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, ANP-C
Contact information
Practice address
15481 W CLUB DELUXE RD, S. TANGIPAHOA PARISH HEALTH UNIT, HAMMOND, LA 70403-1466
(985) 543-4170
(985) 543-4171
Mailing address
1224 HIGHWAY 1046, P.O. BOX 156, AMITE, LA 70422-7002
(985) 748-7727
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN045429 AP03479
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1109673
—
LA
Enumeration date
02/08/2007
Last updated
07/09/2007
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