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Individual

JOSHUA LEJEUNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC, PMHS

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
224413
LA
363LP0200X
Pediatric Nurse Practitioner
Primary
224413
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15550554
CAQH PROVIEW
05
2583573
LA
Enumeration date
04/02/2022
Last updated
08/21/2024
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