LISA MARIE CHURCH

LAKE CHARLES, LA
NPI1356089148
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  223797)
Enumeration Date2022-05-23
Last Update Date2024-02-22
Business Address
LISA MARIE CHURCH NP
1890 W GAUTHIER RD STE 135
LAKE CHARLES, LA 70605-7179
Phone number: 337-480-5510
Mailing Address
LISA MARIE CHURCH NP
PO BOX 122585 DEPT 2585
DALLAS, TX 75312-0001
Phone number: 337-494-2921
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