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NPI Code Detail

MEDICARE: JOHN BRYANT LEJEUNE LMSW

MEDICARE: JOHN BRYANT LEJEUNE LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker16151LA

General Provider Information

NPI Number : 1003409459
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN BRYANT LEJEUNE LMSW
Provider Business Mailing Address
First Line : 1650 NILE ST
Second Line :
City : EUNICE
State : LA
Zip : 70535-3910
Country : US
Telephone Number : 337-580-5002
Fax Number :
Provider Business Practice Location Address
First Line : 3455 FLORIDA ST
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-3764
Country : US
Telephone Number : 225-256-6604
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2021
Last Update Date : 02/17/2021

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