Individual
AIMEE ELIZABETH LESTAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., C.C.C.-SLP
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
Mailing address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5402
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7922
LA
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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