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Organization

LESLIE R. COFFMAN, MD, PMC, OBSTETRICS & GYNECOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LESLIE R. COFFMAN MD (OWNER)
(318) 387-3113
Entity
Organization

Contact information

Practice address
401 MCMILLAN RD, WEST MONROE, LA 71291-5325
(318) 387-3113
(318) 387-1338
Mailing address
401 MCMILLAN RD, WEST MONROE, LA 71291-5325
(318) 387-3113
(318) 387-1338

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L013086
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1446122
LA
Enumeration date
01/30/2007
Last updated
07/16/2010
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