Individual
LISA MICHELLE FAULKENBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
312 GRAMMONT ST STE 411, MONROE, LA 71201-7403
(318) 966-6480
(318) 966-6481
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(318) 966-6480
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN086553-AP06537
LA
Other
Enumeration date
07/07/2011
Last updated
03/08/2023
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