Individual
LISA K HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1525 DICKORY AVE, HARAHAN, LA 70123-2168
(504) 818-0006
(504) 818-0095
Mailing address
1525 DICKORY AVE, HARAHAN, LA 70123-2168
(504) 818-0006
(504) 818-0095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD023681
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1484440
—
LA
Enumeration date
10/31/2005
Last updated
05/03/2012
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