Individual
MIRANDA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2933 CYPRESS ST STE 1, WEST MONROE, LA 71291-5468
(318) 322-9252
(318) 397-1873
Mailing address
PO BOX 2673, WEST MONROE, LA 71294-2673
(318) 322-9252
(318) 397-1873
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214150
LA
Other
Enumeration date
06/28/2020
Last updated
09/02/2022
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