Individual
CYNTHIA WILLIAMS LECARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
243 CURTISS RD STE 100, BARKSDALE AFB, LA 71110-2425
(318) 456-6705
Mailing address
243 CURTISS RD STE 100, BARKSDALE AFB, LA 71110-2425
(318) 456-6705
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
832173
TX
246Z00000X
Other Specialist/Technologist
5650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5650
TSBEP
TX
01
—
832173
TX BON
TX
Enumeration date
01/11/2018
Last updated
01/11/2018
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