Individual
MRS. LEIGH ANNA CORDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4 BANCROFT CIR, MONROE, LA 71201-5101
(318) 388-0032
(318) 388-0491
Mailing address
4 BANCROFT CIR, MONROE, LA 71201-5101
(318) 388-0032
(318) 388-0491
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
A10310RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1709948
—
LA
Enumeration date
12/04/2006
Last updated
07/08/2007
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