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Individual

LEA HAWKINS-FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT # 3304

Contact information

Practice address
1024 3RD ST, SUITE 203, ALEXANDRIA, LA 71301-8343
(225) 931-7294
Mailing address
168 CLIFTON RD, CLIFTON, LA 71447-4023
(225) 931-7294

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3304
LA

Other

Enumeration date
11/19/2015
Last updated
11/19/2015
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