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Individual

PROF. LISA ANN GUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P. T.

Contact information

Practice address
29301 N DIXIE RANCH RD, LACOMBE, LA 70445-5403
(985) 871-4114
(985) 871-4130
Mailing address
PO BOX 2290, LACOMBE, LA 70445-2290
(985) 871-4114
(985) 871-4130

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00354R
LA

Other

Enumeration date
11/07/2007
Last updated
11/07/2007
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