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Individual

MRS. EDIE P LEMLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1809 NORTHPOINTE LN, SUITE 102, RUSTON, LA 71270-3853
(318) 255-3762
(318) 255-9970
Mailing address
1200 S FARMERVILLE ST, RUSTON, LA 71270-5941
(318) 396-3800
(318) 396-3852

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP03462
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1438430
LA
Enumeration date
07/14/2006
Last updated
10/07/2016
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