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Individual

VIKKI SPURLOCK LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9428 BROOKLINE AVE, BATON ROUGE, LA 70809-1428
(225) 372-2693
Mailing address
9428 BROOKLINE AVE, BATON ROUGE, LA 70809-1428
(225) 372-2693

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN120377
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1255705828
LA
Enumeration date
05/31/2017
Last updated
07/21/2022
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