person
Leslie Lewynell Provost
Occupational Health Nurse Practitioner in Shreveport, Louisiana
NPI 1700449220

Leslie Lewynell Provost is a Occupational Health Nurse Practitioner based in Bossier City, LA and is specialized in Occupational Health. Leslie Lewynell Provost practices in Shreveport, LA. The NPI Number for Leslie Lewynell Provost is 1700449220 and holds a License No. 200771 (Louisiana).

The current practice location address for Leslie Lewynell Provost is 510 E Stoner Ave, Shreveport, LA and can be reached out via phone at 318-221-8411.

Location: 510 E Stoner Ave, Shreveport, LA, 71112-9757
person
Provider Profile Details
NPI Number
1700449220
Provider Name
Leslie Lewynell Provost
Credential
Provider Entity Type
Individual
Gender
Female
Address
510 E Stoner Ave, Shreveport, LA, 71112-9757
Phone Number
318-221-8411
Fax Number
Provider Enumeration Date
04/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
510 E Stoner Ave
City
State
Zip
71101-4243
Phone Number
318-221-8411
Fax Number
person
Provider Business Mailing Address Details
Address
510 E Stoner Ave
City
State
Zip
71101-4243
Phone Number
318-221-8411
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
200771 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Occupational Health
Taxonomy
License No.
200771 (Louisiana)
Definition
Definition to come...
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