Individual
LISA BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 LOYOLA AVE STE 106, NEW ORLEANS, LA 70113-1912
(504) 558-9595
(504) 558-9599
Mailing address
401 LEBOEUF ST, NEW ORLEANS, LA 70114-1317
(504) 266-9519
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
270115
LA
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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