Individual
ALBERT LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
606 CAROL DR, JEFFERSON, LA 70121-1706
(228) 383-6376
Mailing address
606 CAROL DR, JEFFERSON, LA 70121-1706
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
12537
LA
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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