Provider Demographics
NPI:1407163637
Name:LEMIEUX, DAWN CHEATHAM (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:CHEATHAM
Last Name:LEMIEUX
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1201 W FERTITTA BLVD
Mailing Address - Street 2:
Mailing Address - City:LEESVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71446-4637
Mailing Address - Country:US
Mailing Address - Phone:337-238-0620
Mailing Address - Fax:337-238-0530
Practice Address - Street 1:1201 W FERTITTA BLVD
Practice Address - Street 2:
Practice Address - City:LEESVILLE
Practice Address - State:LA
Practice Address - Zip Code:71446-4637
Practice Address - Country:US
Practice Address - Phone:337-238-0620
Practice Address - Fax:337-238-0530
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAPA.200380363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant