Individual
LISA A BROCKHOEFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
4600 RIVER RD, MARRERO, LA 70072-1943
(504) 349-8680
Mailing address
4600 RIVER RD, MARRERO, LA 70072-1943
(504) 349-8680
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2639
LA
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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