Individual
LEA ANN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8001 YOUREE DR, SUITE 300, SHREVEPORT, LA 71115-2302
(318) 212-3800
(318) 212-3895
Mailing address
8001 YOUREE DR, SUITE 300, SHREVEPORT, LA 71115-2302
(318) 212-3800
(318) 212-3895
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN08636-AP05908
LA
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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