Individual
LINDSAY LILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W ESPLANADE AVE STE 409, KENNER, LA 70065
(504) 471-2757
Mailing address
200 W ESPLANADE AVE STE 200, KENNER, LA 70065-2473
(504) 464-2940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
326952
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2463888
—
LA
Enumeration date
03/20/2018
Last updated
07/19/2021
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