Individual
MRS. LISA ROEBUCK NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1601 BITTERSWEET AVE, RUSTON, LA 71270-2098
(318) 255-5724
(318) 255-5744
Mailing address
118 CREEKSIDE DR, RUSTON, LA 71270-1766
(318) 245-8422
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3714
LA
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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