Individual
LEILANI GIBBENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 AUDUBON BLVD, SUITE 102B, LAFAYETTE, LA 70503-2676
(337) 237-7801
Mailing address
105 ROYALTON PKWY, LAFAYETTE, LA 70507-7025
(318) 201-0258
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08625
LA
Other
Enumeration date
01/20/2016
Last updated
03/09/2016
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