Individual
LISA JONES RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7434 STRATHMORE DR, NEW ORLEANS, LA 70128-2425
(504) 289-0784
Mailing address
PO BOX 29151, NEW ORLEANS, LA 70189-0151
(504) 267-7590
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4904
LA
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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