West, Laresa D

West, Laresa D is an individual health care provider with primary practice located at 540 Charter Blvd Suite 100, Macon GA 31210-4892. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. West, Laresa D can be contacted via phone (478) 471-0089.

Contact Information

Primary practice address
540 Charter Blvd Suite 100 Macon GA 31210-4892
Phone: (478) 471-0089
Fax: (478) 471-0708
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN162702NP Georgia

Profile Details

NPI number 1710357926
LBN Legal business name West, Laresa D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2015
Last updated Sep 30th, 2015 - about 11 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.

Request for update

Popular Providers