Individual
MISS LEAH ELIZABETH WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1890 W GAUTHIER RD STE 135, LAKE CHARLES, LA 70605-7179
(337) 480-5510
(337) 480-5511
Mailing address
PO BOX 122585 DEPT 2585, DALLAS, TX 75312-0001
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
207188
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2517091
—
LA
Enumeration date
09/27/2019
Last updated
02/12/2025
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