Individual
LISA BERCEGEAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A., LMT, CST-P
Contact information
Practice address
45016 GOLD PLACE RD, SAINT AMANT, LA 70774-3619
(225) 571-2943
Mailing address
45016 GOLD PLACE RD, SAINT AMANT, LA 70774-3619
(225) 571-2943
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
LA5459
LA
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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