| NPI | 1235316217 |
|---|---|
| Doing Business As | DR. LISA BAILEY DDS |
| Entity Type | Organization |
| Authorized Contact | LISA CHURCHMAN BAILEY Owner 225-644-4976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: LA 4685) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |