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Individual

COURTNEY LEBLANC DELATTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
13909 FLORIDA BLVD, LIVINGSTON, LA 70754-6340
(225) 686-7044
(225) 686-3052
Mailing address
30120 HWY 441, LIVINGSTON, LA 70754-1130
(225) 567-9367
(225) 567-5248

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
240073
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10185
LA
Enumeration date
08/06/2020
Last updated
08/06/2020
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