LARESA D WEST NP NPI 1710357926

NPI Information

Laresa D West, NP is a family nurse practitioner in Macon, GA with 9 years of experience. Laresa D West, NP NPI is 1710357926. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

540 CHARTER BLVD
SUITE 100
MACON, GA
ZIP 31210-892
Phone: (478) 471-0089
Fax: (478) 471-0708

The NPI 1710357926 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/30/2015 and was last updated on 9/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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