Mrs Leslie Anderson Petross, LDN,RD is a
Dietitian, Registered based in Sulphur, Louisiana. Mrs Leslie Anderson Petross is licensed to practice in Louisiana (license number 1421) and her current practice location is
701 East Cypress St, Sulphur, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(337) 527-4282.
NPI number for Mrs Leslie Anderson Petross is 1548484801 and her current mailing address is 4316 Evelyn Gay Lane, Sulphur, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548484801.
Healthcare Provider's Profile
Full Name | Mrs Leslie Anderson Petross |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 701 East Cypress St, Sulphur, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548484801
- Provider Enumeration Date: 04/11/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Leslie Anderson Petross such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548484801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1421 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Leslie Anderson Petross is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Leslie Anderson Petross, LDN,RD 4316 Evelyn Gay Lane, Sulphur, LA 70664 Ph: (337) 558-5586 | Mrs Leslie Anderson Petross, LDN,RD 701 East Cypress St, Sulphur, LA 70663-5053 Ph: (337) 527-4282 |
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