Individual
LEAH BLAKE LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305-4000
(334) 794-5000
Mailing address
4370 W MAIN ST, DOTHAN, AL 36305-4000
(334) 794-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-152343
AL
Other
Enumeration date
07/08/2021
Last updated
08/25/2021
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