Individual
LISA HENSON KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
8585 PICARDY AVE, BATON ROUGE, LA 70809-3679
(225) 763-4400
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP07917
LA
363LF0000X
Family Nurse Practitioner
Primary
AP07917
LA
Other
Enumeration date
09/18/2014
Last updated
08/04/2021
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