Individual
TYLER GREGORY LUSIGNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
101 RIVER RD STE 112, JEFFERSON, LA 70121-4226
(504) 828-7696
(504) 828-8935
Mailing address
101 RIVER RD STE 112, JEFFERSON, LA 70121-4226
(504) 828-7696
(504) 828-8935
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09976
LA
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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