Individual
WALTER PAUL LESSIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CIT
Contact information
Practice address
401 W VERMILION ST, LAFAYETTE, LA 70501-6729
(337) 345-1426
Mailing address
401 W VERMILION ST, LAFAYETTE, LA 70501-6729
(337) 345-1426
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5122
LA
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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