Individual
DR. LISA KHANH LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17609 OLD JEFFERSON HWY, PRAIRIEVILLE, LA 70769-3979
(225) 647-8511
(225) 744-2992
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0011
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
022667
LA
208000000X
Pediatrics Physician
A70998
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A709980
—
CA
05
—
1491721
—
LA
Enumeration date
07/08/2005
Last updated
01/04/2021
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