Individual
BRANDI B LEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 2004, BATON ROUGE, LA 70808-4300
(225) 769-2500
(225) 706-1008
Mailing address
35415 OLD LA HIGHWAY 16, DENHAM SPRINGS, LA 70706-0560
(225) 936-9662
(225) 706-1008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN096450 AP04420
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477346
—
LA
Enumeration date
05/09/2006
Last updated
12/17/2010
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