Individual
LESLIE STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2449 HOSPITAL DR, SUITE 260, BOSSIER CITY, LA 71111-2399
(318) 212-7840
(318) 212-7878
Mailing address
2449 HOSPITAL DR, SUITE 260, BOSSIER CITY, LA 71111-2399
(318) 212-7840
(318) 212-7878
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP07719
LA
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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