Provider Demographics
NPI:1235486481
Name:LEDET, HERMAN JUNES (APN)
Entity Type:Individual
Prefix:MR
First Name:HERMAN
Middle Name:JUNES
Last Name:LEDET
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5620 I 49 N SERVICE RD
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-0780
Mailing Address - Country:US
Mailing Address - Phone:337-247-5906
Mailing Address - Fax:
Practice Address - Street 1:5620 I 49 N SERVICE RD
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-0780
Practice Address - Country:US
Practice Address - Phone:337-247-5906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06963363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner