Individual
LISA SYKES THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1126 MARGUERITE ST, STE A, MORGAN CITY, LA 70380-1891
(985) 917-3007
(985) 702-9286
Mailing address
PO BOX 4051, HOUMA, LA 70361-4051
(985) 917-3007
(985) 917-3010
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
200182
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1065200
—
LA
Enumeration date
08/08/2007
Last updated
02/03/2016
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