Individual
NICOLE ASHLEY LECOQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-6565
Mailing address
12636 E SHERATON AVE, BATON ROUGE, LA 70815-6838
(225) 610-3994
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
133934
LA
Other
Enumeration date
04/13/2020
Last updated
09/11/2024
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