Individual
LISA RITTER LACOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4200 ROLLINS RD, ZACHARY, LA 70791-2999
(225) 654-2786
Mailing address
5670 SOPHIE ANNE DR, ZACHARY, LA 70791-2636
(225) 936-2167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01017
LA
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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