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1750413225
LISA RENE DESHOTEL
LAFAYETTE, LA
NPI
1750413225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: LA PA.A 10431RX)
Enumeration Date
2007-03-11
Last Update Date
2007-07-08
Business Address
Mrs. LISA RENE DESHOTEL PA-C
1602 W PINHOOK RD SUITE 100
LAFAYETTE, LA 70508-3735
Phone number: 337-234-9925
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Mailing Address
Mrs. LISA RENE DESHOTEL PA-C
102 ISAIAH DR LAFAYETTE, LA
LAFAYETTE, LA 70508-5392
Phone number: 337-261-5232
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