Individual
MS. ALISA DUST HAMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
7301 HENNESSY BLVD, #200, BATON ROUGE, LA 70808
(225) 766-0050
(225) 766-1499
Mailing address
PO BOX 98035, BATON ROUGE, LA 70898
(225) 766-0050
(225) 766-1499
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200382
LA
363AM0700X
Medical Physician Assistant
PA.200382
LA
Other
Enumeration date
10/06/2010
Last updated
12/20/2023
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