LISA TILLMAN EDISON

NEW ORLEANS, LA
NPI1902394745
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QR0400X Clinic/Center, Rehabilitation
Enumeration Date2018-04-26
Last Update Date2018-04-27
Business Address
Ms. LISA TILLMAN EDISON
2331 CANAL ST
NEW ORLEANS, LA 70119-6503
Phone number: 304-307-3737
Mailing Address
Ms. LISA TILLMAN EDISON
PO BOX 3017
HARVEY, LA 70059-3017
Phone number: 504-451-7337
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