Individual
MR. LEON WARE PREJEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
1717 OAK PARK BLVD, 3RD FLOOR, LAKE CHARLES, LA 70601-8991
(337) 494-4916
Mailing address
1818 S BEND RD, LAKE CHARLES, LA 70605-0573
(337) 474-3315
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
RN033741
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN033741
STATE LICENSE #
LA
Enumeration date
07/27/2006
Last updated
07/08/2007
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