Individual
LISA RAYMOND-PRINZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
648 CRESTWOOD DR, COVINGTON, LA 70433
(985) 805-2555
(985) 400-5303
Mailing address
200 W ESPLANADE AVE, KENNER, LA 70065-2489
(504) 464-8588
(504) 703-0332
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
204516
LA
Other
Enumeration date
08/21/2019
Last updated
07/30/2020
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