Individual
JANINE LISSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9605 JEFFERSON HWY, RIVER RIDGE, LA 70123-2550
(504) 738-1604
(504) 738-7860
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 896-9827
(504) 894-5370
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
023752
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1484911
—
LA
Enumeration date
06/10/2005
Last updated
11/15/2016
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