Individual
MRS. REGINA CAROL MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
401 RAINBOW DR UNIT 35, PINEVILLE, LA 71360-6979
(318) 487-5191
(318) 487-5184
Mailing address
1137 HIGHWAY 1241, DRY PRONG, LA 71423-3635
(318) 641-9021
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN098486
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9759
BLUECROSSBLUESHIELD
LA
Enumeration date
07/30/2006
Last updated
02/04/2010
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