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Individual

LESLIE HOFFMAN PRATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP

Contact information

Practice address
2647 S SAINT ELIZABETH BLVD, GONZALES, LA 70737-5021
(225) 647-8511
(225) 644-5213
Mailing address
2647 S SAINT ELIZABETH BLVD, GONZALES, LA 70737-5021
(225) 647-8511
(225) 644-5213

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN04780
LA
364SA2200X
Adult Health Clinical Nurse Specialist
APRN04780
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1564460
LA
Enumeration date
10/06/2008
Last updated
11/01/2018
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