Individual
LISA LEBLANC BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
844 FORGE AVE, BATON ROUGE, LA 70808-4853
(225) 975-6229
Mailing address
844 FORGE AVE, BATON ROUGE, LA 70808-4853
(225) 975-6229
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2212
LA
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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