Individual
JENNA LIZANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70033 4TH ST, COVINGTON, LA 70433-8402
(985) 285-8057
Mailing address
70033 4TH ST, COVINGTON, LA 70433-8402
(985) 285-8057
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
311102
LA
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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