La Ideal Wound INC

NPI #1720964349 in Monroe, Texas

Provider Information

NPI Number: 1720964349
Entity Type: Organization
Organization Name: La Ideal Wound INC
Primary Specialty: Nurse Practitioner
Enumeration Date: Aug 12, 2025
Last Updated: Aug 12, 2025

Practice Location

Address: 201 VICTORY BLVD
Address 2: SUITE 287
City: Monroe
State: Texas
ZIP Code: 71203
Phone: (877) 969-6863

Authorized Official

Name: TRACI PIERSANTI
Title: OPERATIONS MANAGER
Phone: (877) 969-6863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Nurse Practitioner	363L00000X	Primary

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