Leslie Wilson

NPI 1598247892 · on the registry since 2018 · sole proprietor

Practice

Address: 1211 N Range Ave Ste D
Denham Springs, LA 70726
Phone: (225) 667-4999
Fax: (225) 667-4998
Organisation at this address: Ltd Group Llc
Pediatric Associates Of Denham Springs
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 253Z00000X
253Z00000X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-09-04

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