Individual
MS. HEATHER BOZEMAN LENSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
920 OLIVER RD, MONROE, LA 71201-5702
(318) 807-6267
(318) 812-6458
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
728472
TX
363LF0000X
Family Nurse Practitioner
Primary
AP07798
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2377507
—
LA
05
—
284172801
—
TX
01
—
852N78
BLUE CROSS AND BLUE SHIELD
TX
Enumeration date
07/19/2011
Last updated
06/12/2019
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