Individual
LISA M RABORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
101 LA RUE FRANCE, SUITE 500, LAFAYETTE, LA 70508-3144
(337) 269-9566
(337) 234-1075
Mailing address
101 LA RUE FRANCE, SUITE 500, LAFAYETTE, LA 70508-3144
(337) 269-9566
(337) 234-1075
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT200200
LA
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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