Letha Haynes, | |
948 Cambridge Dr Ste 102, La Place, LA 70068-3647 | |
(985) 652-7717 | |
Not Available |
Full Name | Letha Haynes |
---|---|
Gender | Female |
Speciality | Allergy & Immunology |
Location | 948 Cambridge Dr Ste 102, La Place, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104193176 | NPI | - | NPPES |
2138910 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | RT0004241 (Louisiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Letha Haynes, 948 Cambridge Dr Ste 102, La Place, LA 70068-3647 Ph: (954) 492-7150 | Letha Haynes, 948 Cambridge Dr Ste 102, La Place, LA 70068-3647 Ph: (985) 652-7717 |
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