Individual
MISS NOELLE R LEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
4150 NELSON RD STE C10, LAKE CHARLES, LA 70605-4169
(337) 419-1960
(337) 419-1961
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8284
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200371
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2148613
—
LA
Enumeration date
10/04/2010
Last updated
06/19/2019
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