Individual
LELA DEWANNA SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 ACADIAN LAKE DRIVE, DUSON, LA 70529
(337) 852-3431
Mailing address
312 ACADIAN LAKE DRIVE, DUSON, LA 70529
(337) 852-3431
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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