Lege, Justin Timothy

Lege, Justin Timothy is an individual health care provider with primary practice located at 1620 Commerce Blvd Ste C , Opelousas LA 70570-2066. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Lege, Justin Timothy can be contacted via phone (337) 594-0675.

Contact Information

Primary practice address
1620 Commerce Blvd Ste C Opelousas LA 70570-2066
Phone: (337) 594-0675
Fax: (781) 464-2551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP07916 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP07916 Louisiana

Profile Details

NPI number 1164810164
LBN Legal business name Lege, Justin Timothy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2014
Last updated May 7th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164810164 NPPES
Louisiana MEDICAID 2381920

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