Individual
LISA DIANNE MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN 880563
Contact information
Practice address
401 RAINBOW DR UNIT 35, PINEVILLE, LA 71360-6979
(318) 487-5191
(318) 487-5453
Mailing address
401 RAINBOW DR UNIT 35, PINEVILLE, LA 71360-6979
(318) 487-5191
(318) 487-5453
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN 880563
LA
Other
Enumeration date
10/18/2007
Last updated
02/03/2010
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