Individual
LISA B DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
109 RUE FOUNTAINE, LAFAYETTE, LA 70508-5744
(337) 266-9820
(337) 266-9822
Mailing address
109 RUE FOUNTAINE, LAFAYETTE, LA 70508-5744
(337) 266-9820
(337) 266-9822
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
022594
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1490849
—
LA
Enumeration date
03/16/2006
Last updated
02/03/2016
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