Organization
LISA M. COLN MD APMC
Active
Other names
Lakeside Women's Obstetrics & Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M COLON M.D. (PHYSICIAN/OWNER)
(504) 889-7652
Entity
Organization
Contact information
Practice address
4770 S I 10 SERVICE RD W, SUITE 104, METAIRIE, LA 70001-1215
(504) 889-7652
(504) 889-7632
Mailing address
4770 S I 10 SERVICE RD W, SUITE 104, METAIRIE, LA 70001-1215
(504) 889-7652
(504) 889-7632
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD024744
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1579297
—
LA
Enumeration date
07/08/2013
Last updated
07/08/2013
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