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Individual

AMANDA CLAIRE LEGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7529
(337) 289-7190
Mailing address
131 N 9TH ST, EUNICE, LA 70535-3103
(337) 580-6242
(770) 874-5483

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200562
LA

Other

Enumeration date
10/19/2012
Last updated
10/19/2012
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