Individual
LISA T SUIRE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
768 CHEVELLE DR, BATON ROUGE, LA 70806-6503
(225) 930-0208
(225) 930-0221
Mailing address
30644 JOHN DR, DENHAM SPRINGS, LA 70726-2125
(225) 664-0220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202
LA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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