Individual
LISANNE MEINERS MCCULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7942 GOODWOOD BLVD, BATON ROUGE, LA 70806-7629
(225) 926-2400
Mailing address
7942 GOODWOOD BLVD, BATON ROUGE, LA 70806-7629
(225) 926-2400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07311
LA
Other
Enumeration date
11/12/2007
Last updated
09/17/2018
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