Individual
LESLIE PRESTENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
843 MILLING AVE, LULING, LA 70070-4442
(985) 307-1600
(504) 575-3691
Mailing address
2900 INDIANA AVE, KENNER, LA 70065-4605
(504) 575-3712
(504) 575-3691
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APO7977
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03684747
—
MS
05
—
2377116
—
LA
Enumeration date
08/12/2014
Last updated
03/21/2017
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