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Individual

NANTAWADEE LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
64030 HIGHWAY 434, LACOMBE, LA 70445-3456
(985) 690-7500
Mailing address
64030 HWY 434, LACOMBE, LA 70445
(985) 690-5900

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163W00000X
LA
363LA2100X
Acute Care Nurse Practitioner
Primary
363LA2100X
LA

Other

Enumeration date
12/14/2012
Last updated
12/14/2012
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