Individual
LISA L FREYOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
500 N LEWIS ST, SUITE 100, NEW IBERIA, LA 70563-2046
(337) 367-5200
(337) 369-3074
Mailing address
PO BOX 4176, HOUMA, LA 70361-4176
(985) 876-0300
(985) 872-3017
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN056681-AP05455
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1039306
—
LA
Enumeration date
01/08/2008
Last updated
10/20/2015
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