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NPI Code Detail

MEDICARE: MS. MELANIE ELAINE LEJEUNE LAC

MEDICARE:  MS. MELANIE ELAINE LEJEUNE  LAC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor1047LA

General Provider Information

NPI Number : 1023048527
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELANIE ELAINE LEJEUNE LAC
Provider Business Mailing Address
First Line : 113 N LIGHTNER AVE
Second Line :
City : IOWA
State : LA
Zip : 70647-7006
Country : US
Telephone Number : 337-582-7685
Fax Number :
Provider Business Practice Location Address
First Line : 4012 AVENUE H
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70615-5186
Country : US
Telephone Number : 337-491-2355
Fax Number : 337-491-2492
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 07/08/2007

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Directions to “ MS. MELANIE ELAINE LEJEUNE LAC” Practice Location

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