Individual
LISA MARIE GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2750 GAUSE BLVD E, SLIDELL, LA 70461-4149
(985) 639-3777
Mailing address
2750 GAUSE BLVD E, SLIDELL, LA 70461-4149
(985) 639-3777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08029
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01673546
—
MS
05
—
2376471
—
LA
Enumeration date
09/16/2014
Last updated
01/08/2015
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