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Lisa Tebault
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in New Orleans, Louisiana
NPI 1689065880

Lisa Tebault is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in New Orleans, LA. Lisa Tebault practices in New Orleans, LA. The NPI Number for Lisa Tebault is 1689065880 and holds a License No. (Louisiana).

The current practice location address for Lisa Tebault is 11650 West Barrington Dr, New Orleans, LA and can be reached out via phone at 504-221-9531. You can also correspond with Lisa Tebault through the mailing address at PO BOX 29561, NEW ORLEANS, LA - 70189-0561 (mailing address contact number: 504-221-9531).

Location: 11650 West Barrington Dr, New Orleans, LA, 70189-0561
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689065880
Provider Name
Lisa Tebault
Credential
Provider Entity Type
Individual
Gender
Female
Address
11650 West Barrington Dr, New Orleans, LA, 70189-0561
Phone Number
504-221-9531
Fax Number
Provider Enumeration Date
02/10/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11650 West Barrington Dr
City
New Orleans
State
Louisiana
Zip
70128
Phone Number
504-221-9531
Fax Number
person
Provider Business Mailing Address Details
Address
11650 West Barrington Dr
City
New Orleans
State
Louisiana
Zip
70128
Phone Number
504-221-9531
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
()
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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