Individual
LISA VAN MOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3311 PRESCOTT RD STE 110, ALEXANDRIA, LA 71301-3917
(318) 448-4995
(318) 561-4116
Mailing address
201 4TH ST STE 4A, ALEXANDRIA, LA 71301-8421
(318) 442-8698
(318) 442-1358
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
AP07118
LA
363L00000X
Nurse Practitioner
Primary
AP07118
LA
Other
Enumeration date
12/12/2012
Last updated
08/05/2026
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