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Individual

LISA KATHERINE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 WOMANS WAY, BATON ROUGE, LA 70817-5100
(225) 757-0552
(225) 763-9997
Mailing address
8230 SUMMA AVE, STE C, BATON ROUGE, LA 70809-3465
(225) 757-0552
(225) 763-9997

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
311482
LA
2085R0202X
Diagnostic Radiology Physician
31627
NE
2085R0202X
Diagnostic Radiology Physician
63769
CT
2085R0202X
Diagnostic Radiology Physician
Primary
88533
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2331116
LA
Enumeration date
04/18/2013
Last updated
05/25/2023
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