Individual
LEANNE LOTT TEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1404 E PUSHMATAHA ST, BUTLER, AL 36904-2728
(205) 459-4488
(205) 459-3010
Mailing address
PO BOX 908, MERIDIAN, MS 39302-0908
(601) 703-4282
(601) 703-4597
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1075117
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891001830
—
AL
Enumeration date
11/13/2006
Last updated
02/17/2014
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