SearchLouisiana101YM0800X

Kourtney Lee

NPI 1205206133 · on the registry since 2015 · sole proprietor

Practice

Address
172 Camellia Pl
Grambling, LA 71245
Phone
(706) 761-5588

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2015-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana