Provider Demographics
NPI:1013669977
Name:CURET, ALYSSA LEGER (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:LEGER
Last Name:CURET
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36437 MANCHAC TRACE AVE
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-3219
Mailing Address - Country:US
Mailing Address - Phone:337-962-6234
Mailing Address - Fax:
Practice Address - Street 1:2306 S BURNSIDE AVE
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-4668
Practice Address - Country:US
Practice Address - Phone:225-927-7546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-21
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA330080363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant