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Individual

DR. REBECCA LEE CROUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
166 BEECH SPRINGS RD, JONESBORO, LA 71251-2014
(318) 259-3668
(318) 259-3950
Mailing address
166 BEECH SPRINGS RD, JONESBORO, LA 71251-2014
(318) 259-3668
(318) 259-3950

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
013773
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1934917
LA
01
4647883
AETNA ID NUMBER
LA
Enumeration date
08/12/2006
Last updated
03/20/2024
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