Individual
MELISSA ANN LEMOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 754-5280
(225) 754-5208
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
(504) 756-7016
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200713
LA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0663824
MISS MEDICAID
MS
05
—
2371347
—
LA
Enumeration date
08/15/2010
Last updated
09/26/2018
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