Individual
LEA CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
909 ADAMS AVE, LA GRANDE, OR 97850-2570
(509) 885-8193
Mailing address
PO BOX 3290, LA GRANDE, OR 97850-7290
(541) 963-5130
(541) 975-5132
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201902791NP-PP
OR
Other
Enumeration date
04/24/2019
Last updated
11/19/2020
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