Lesley Reviere Ott, NP | |
6411 Perkins Rd Ste 100, Baton Rouge, LA 70808-4125 | |
(225) 303-9500 | |
Not Available |
Full Name | Lesley Reviere Ott |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 6411 Perkins Rd Ste 100, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124603154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 218811 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dermasurgery Center Llc | 8022182922 | 10 |
Entity Name | Dermasurgery Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053579862 PECOS PAC ID: 8022182922 Enrollment ID: O20080811000028 |
Mailing Address | Practice Location Address |
---|---|
Lesley Reviere Ott, NP 12581 Three Lakes Dr, Walker, LA 70785-8214 Ph: (337) 580-2064 | Lesley Reviere Ott, NP 6411 Perkins Rd Ste 100, Baton Rouge, LA 70808-4125 Ph: (225) 303-9500 |
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