Individual
LESLEY REVIERE OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6411 PERKINS RD STE 100, BATON ROUGE, LA 70808-4125
(225) 303-9500
Mailing address
12581 THREE LAKES DR, WALKER, LA 70785-8214
(337) 580-2064
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
218811
LA
Other
Enumeration date
03/11/2021
Last updated
03/19/2021
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