Individual
LESLEY MARIE DUBUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
101 JUDGE TANNER BLVD STE 506, COVINGTON, LA 70433-7506
(985) 867-2131
(985) 867-2132
Mailing address
901 GAUSE BLVD FL 2, SLIDELL, LA 70458-2948
(985) 649-2700
(985) 649-8488
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
305430
LA
Other
Enumeration date
06/08/2017
Last updated
02/28/2023
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