Individual
LAURYN CAITLIN LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2770 3RD AVE STE 350, LAKE CHARLES, LA 70601-0404
(337) 494-2750
(337) 494-2760
Mailing address
PO BOX 122309 DEPT 2309, DALLAS, TX 75312-0001
(373) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202661
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6V2720
MEDICARE
LA
Enumeration date
04/07/2019
Last updated
08/22/2024
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