Individual
MRS. LILA BROOKE GREENWALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4633 WICHERS DR, MARRERO, LA 70072-3002
(504) 688-3642
Mailing address
354 PRINCETON CIR, BELLE CHASSE, LA 70037-1311
(256) 473-1786
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-181764
AL
Other
Enumeration date
10/11/2023
Last updated
05/31/2025
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