Individual
TIFFANY LEFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3302 MANSFIELD RD, SHREVEPORT, LA 71103-4106
(337) 991-9276
(337) 943-0846
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 991-9276
(337) 943-0846
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
208573
LA
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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