LISA LARAINE SOUTH

KENNER, LA
NPI1275307472
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: TX  1134088)
Enumeration Date2023-11-08
Last Update Date2023-11-08
Business Address
LISA LARAINE SOUTH NP
180 W ESPLANADE AVE
KENNER, LA 70065-2467
Phone number: 504-464-8506
Mailing Address
LISA LARAINE SOUTH NP
9373 N WALKER RD
CLEVELAND, TX 77328-5835
Phone number: 832-797-9670
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