Individual
ALIESE ALEXANDRA LEMOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(225) 456-4093
Mailing address
1941 HIGHWAY 68, JACKSON, LA 70748-4131
(225) 456-4093
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA64750
CA
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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