Individual
LEAH PILLET LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
7520 PERKINS RD, SUITE 310, BATON ROUGE, LA 70808-9111
(225) 769-0031
Mailing address
8040 SEVENOAKS AVE, BATON ROUGE, LA 70806-7657
(225) 802-6097
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6258
LA
Other
Enumeration date
08/26/2010
Last updated
02/24/2016
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