Individual
LEIGH BECCA LAROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4440 S WASHINGTON ST, GRAND FORKS, ND 58201-7245
(701) 780-5000
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201-4183
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R31230
ND
Other
Enumeration date
03/13/2023
Last updated
03/15/2023
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