Individual
LISA ANN GUIDRY PRUETT
Active
Individual
LISA ANN GUIDRY PRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
026450
LA
207N00000X
Dermatology Physician
MD026450
LA
207N00000X
Dermatology Physician
Primary
N3700
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04158761
—
MS
05
—
06533
—
LA
05
—
1065331
—
LA
Enumeration date
07/14/2006
Last updated
02/17/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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