person
Lalisa Wade, FAMILYNURSEPRACTIT
Family Nurse Practitioner in Sicily Island, Louisiana
NPI 1710161385

Lalisa Wade is a Family Nurse Practitioner based in Sicily Island, LA and is specialized in Family. Lalisa Wade practices in Sicily Island, LA and has the professional credentials of FAMILYNURSEPRACTIT. The NPI Number for Lalisa Wade is 1710161385 and holds a License No. RN101774 (Louisiana).

The current practice location address for Lalisa Wade is 307 Chisum St, Sicily Island, LA and can be reached out via phone at 318-389-5727 and via fax at 318-389-9943.

Location: 307 Chisum St, Sicily Island, LA, 71368-0008
person
Provider Profile Details
NPI Number
1710161385
Provider Name
Lalisa Wade
Credential
FAMILYNURSEPRACTIT
Provider Entity Type
Individual
Gender
Female
Address
307 Chisum St, Sicily Island, LA, 71368-0008
Phone Number
318-389-5727
Fax Number
318-389-9943
Provider Enumeration Date
12/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1632671 05 LA
institution
Provider Business Practice Location Address Details
Address
307 Chisum St
City
State
Zip
71368-4807
Phone Number
318-389-5727
Fax Number
318-389-9943
person
Provider Business Mailing Address Details
Address
307 Chisum St
City
State
Zip
71368-4807
Phone Number
318-389-5727
Fax Number
318-389-9943
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN101774 (Louisiana)
Definition
Definition to come...
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