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Individual

DYLAN LEGGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 214-6438
Mailing address
7777 HENNESSY BLVD STE 301, BATON ROUGE, LA 70808-0319
(225) 214-6438

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN148877
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
245583
LA

Other

Enumeration date
07/23/2024
Last updated
02/23/2026
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