Provider Demographics
NPI:1043377716
Name:LESAICHERRE, CHERIE P (DDS)
Entity type:Individual
Prefix:DR
First Name:CHERIE
Middle Name:P
Last Name:LESAICHERRE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 HIGHWAY 190
Mailing Address - Street 2:SUITE A
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-8630
Mailing Address - Country:US
Mailing Address - Phone:985-674-0303
Mailing Address - Fax:985-674-0378
Practice Address - Street 1:3601 HIGHWAY 190
Practice Address - Street 2:SUITE A
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-8630
Practice Address - Country:US
Practice Address - Phone:985-674-0303
Practice Address - Fax:985-674-0378
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA296401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice