Leah Lyn Fitzgerald
Registered Nurse, Nurse Massage Therapist (NMT) in Alexandria, LA. Individual provider (NPI-1).
NPI number1093371973
StatusActive
Last updated in NPPESMay 15, 2019
Details
- NPI
- 1093371973
- Entity type
- Individual (NPI-1)
- Name
- Leah Lyn Fitzgerald
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2019
- Last updated
- May 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WM1400X | Registered Nurse, Nurse Massage Therapist (NMT) | RN056512 | LA | Yes |
| 225700000X | Massage Therapist | LA8117 | LA |
Practice location
3654 Government St Ste 5Alexandria, LA 71302-3324
Phone 318-613-5190
Mailing address
3654 Government St Ste 5Alexandria, LA 71302-3324
Phone 318-613-5190
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