Individual
LISA VAN MOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
201 4TH ST, SUITE 4A, ALEXANDRIA, LA 71301-8421
(318) 442-8698
(318) 442-1358
Mailing address
201 4TH ST, SUITE 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
08/01/2024
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