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1154833523
LISA IANNEILLO RUBINO
LAKE CHARLES, LA
NPI
1154833523
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Former Name
LISA MARIE IANNEILLO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP04844)
Enumeration Date
2017-10-25
Last Update Date
2022-06-09
Business Address
LISA IANNEILLO RUBINO NP
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601-8990
Phone number: 337-494-4720
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Mailing Address
LISA IANNEILLO RUBINO NP
PO BOX 122425 DEPT 2425
DALLAS, TX 75312-2425
Phone number: 337-494-2921
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