Provider Demographics
NPI:1841343746
Name:LEJEUNE, MARY L (RN)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:L
Last Name:LEJEUNE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:1822 WEST SECOND STREET
Mailing Address - Street 2:P.O. DRAWER 1403
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70527-1403
Mailing Address - Country:US
Mailing Address - Phone:337-788-7511
Mailing Address - Fax:337-788-7588
Practice Address - Street 1:1822 WEST SECOND STREET
Practice Address - Street 2:P.O. DRAWER 1403
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70527-1403
Practice Address - Country:US
Practice Address - Phone:337-788-7511
Practice Address - Fax:337-788-7588
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN094829163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult