Individual
LISA F KORNEGAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
690 EAST 1ST STREET, THIBODAUX, LA 70301
(985) 759-2550
Mailing address
P.O. BOX 177, PATTERSON, LA 70392
(985) 759-2550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1832
LA
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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