Leslie Lewynell Provost
NPI #1700449220 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1700449220
- Entity Type
- Individual
- Name
- Leslie Lewynell Provost
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Occupational Health
- Enumeration Date
- Apr 19, 2019
- Last Updated
- Sep 1, 2023
Practice Location
- Address
- 510 E STONER AVE
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71101-4243
- Phone
- (318) 221-8411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
| Nurse Practitioner - Occupational Health — Occupational Health |
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