Individual
LISA ANN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7145 PERKINS RD, BATON ROUGE, LA 70808-4322
(225) 765-3111
(225) 765-3114
Mailing address
PO BOX 790213, SURGICAL ANESTHESIA OF BATON ROUGE LLC, SAINT LOUIS, MO 63179-0213
(636) 549-2380
(314) 569-5974
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L020650
LA
207LP2900X
Pain Medicine (Anesthesiology) Physician
L020650
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1393454
UNITED HEALTH CARE
LA
05
—
1968951
—
LA
01
—
P00018898
RR MEDICARE
LA
Enumeration date
10/26/2005
Last updated
03/03/2010
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