Individual
LEZERRICA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11990 JACKSON ST, CLINTON, LA 70722-3210
(225) 683-5292
(225) 683-1310
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
(225) 683-1310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN157056
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
234383
LA
Other
Enumeration date
01/19/2024
Last updated
07/23/2024
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