Individual
LISA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1900 MAIN ST, FRANKLINTON, LA 70438-3688
(985) 839-4431
(985) 839-4431
Mailing address
PO BOX 3087, CREDENTIALING, HAMMOND, LA 70404-3087
(985) 230-1682
(985) 230-6652
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP01780
LA
367500000X
Certified Registered Nurse Anesthetist
RN033495
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441759
—
LA
05
—
1695548
—
LA
Enumeration date
05/30/2005
Last updated
01/06/2023
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