Individual
DR. LISA MONTICELLO SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3297 PORTRUSH DRIVE, LAKE CHARLES, LA 70605
(337) 853-9928
Mailing address
3297 PORTRUSH DRIVE, LAKE CHARLES, LA 70605
(337) 474-3997
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD019961
LA
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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