Individual
DR. LISA A DIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8595 UNITED PLAZA BLVD, BATON ROUGE, LA 70809-2251
(985) 635-6943
(985) 635-6948
Mailing address
PO BOX 1536, MANDEVILLE, LA 70470-1536
(985) 635-6943
(985) 635-6948
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10808R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1490946
—
LA
Enumeration date
10/13/2006
Last updated
09/12/2019
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