Individual
DESTINIE LEDUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16333 COLUMNS WAY APT 2107, BATON ROUGE, LA 70817-7699
(225) 362-8199
Mailing address
16333 COLUMNS WAY APT 2107, BATON ROUGE, LA 70817-7699
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
224989
LA
Other
Enumeration date
04/23/2022
Last updated
04/23/2022
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