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Individual

MS. BARBARA JOAN LISCUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-3980
(504) 842-0041
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-3980
(504) 842-0041

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN 090709 AP02664
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07086281
MS
05
1161411
LA
Enumeration date
06/26/2005
Last updated
08/28/2014
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