Individual
DR. LISA M JAUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 PINNACLE PKWY STE 7, COVINGTON, LA 70433-9169
(985) 643-4144
(985) 643-3603
Mailing address
1200 PINNACLE PKWY STE 7, COVINGTON, LA 70433-9169
(985) 807-1919
(985) 807-1918
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
203313
LA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
203313
LA
208VP0014X
Interventional Pain Medicine Physician
Primary
203313
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000761
—
LA
Enumeration date
07/30/2007
Last updated
12/09/2022
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