LISA RENE DESHOTEL

LAFAYETTE, LA
NPI1750413225
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: LA  PA.A 10431RX)
Enumeration Date2007-03-11
Last Update Date2007-07-08
Business Address
Mrs. LISA RENE DESHOTEL PA-C
1602 W PINHOOK RD SUITE 100
LAFAYETTE, LA 70508-3735
Phone number: 337-234-9925
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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