Individual
MRS. LIZABETH G HATTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
506 S 6TH ST, LEESVILLE, LA 71446-4482
(337) 239-2234
(337) 392-9383
Mailing address
506 S 6TH ST, LEESVILLE, LA 71446-4482
(337) 239-2234
(337) 392-9383
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN054182 AP04763
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1333603
—
LA
Enumeration date
07/25/2006
Last updated
01/06/2020
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