person
Lisa Marie Church, NP
Family Nurse Practitioner in Lake Charles, Louisiana
NPI 1356089148

Lisa Marie Church is a Family Nurse Practitioner based in Dallas, LA and is specialized in Family. Lisa Marie Church practices in Lake Charles, LA and has the professional credentials of NP. The NPI Number for Lisa Marie Church is 1356089148 and holds a License No. 223797 (Louisiana).

The current practice location address for Lisa Marie Church is 1890 W Gauthier Rd Ste 135, Lake Charles, LA and can be reached out via phone at 337-480-5510 and via fax at 337-480-5511.

Location: 1890 W Gauthier Rd Ste 135, Lake Charles, LA, 75312-0001
person
Provider Profile Details
NPI Number
1356089148
Provider Name
Lisa Marie Church
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1890 W Gauthier Rd Ste 135, Lake Charles, LA, 75312-0001
Phone Number
337-480-5510
Fax Number
337-480-5511
Provider Enumeration Date
05/23/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1890 W Gauthier Rd Ste 135
City
State
Zip
70605-7179
Phone Number
337-480-5510
Fax Number
337-480-5511
person
Provider Business Mailing Address Details
Address
1890 W Gauthier Rd Ste 135
City
State
Zip
70605-7179
Phone Number
337-480-5510
Fax Number
337-480-5511
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
223797 (Louisiana)
Definition
Definition to come...
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