Provider Demographics
NPI:1245250075
Name:PIERCE, LESLIE LYNN (LMT ND)
Entity type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:LYNN
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LMT ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 IRISH BEND DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-5605
Mailing Address - Country:US
Mailing Address - Phone:337-224-1004
Mailing Address - Fax:337-534-0061
Practice Address - Street 1:901 OMEGA DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506
Practice Address - Country:US
Practice Address - Phone:337-984-5099
Practice Address - Fax:337-984-5099
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LANAT1000566175F00000X
LALA1111225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No175F00000XOther Service ProvidersNaturopath