Organization
DR. LISA BAILEY
Active
Other names
Dr. Lisa Bailey DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA CHURCHMAN BAILEY DDS (OWNER)
(225) 644-4976
Entity
Organization
Contact information
Practice address
225 W ASCENSION ST, GONZALES, LA 70737-2803
(225) 644-4976
(225) 647-4442
Mailing address
225 W ASCENSION ST, GONZALES, LA 70737-2803
(225) 644-4976
(225) 647-4442
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
4685
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023163599
NPPES
LA
Enumeration date
01/22/2008
Last updated
01/22/2008
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