person
Mrs. Lisa Rene Deshotel, PA-C
Medical Physician Assistant in Lafayette, Louisiana
NPI 1750413225

Lisa Rene Deshotel is a Medical Physician Assistant based in Lafayette, LA and is specialized in Medical. Lisa Rene Deshotel practices in Lafayette, LA and has the professional credentials of PA-C. The NPI Number for Lisa Rene Deshotel is 1750413225 and holds a License No. PA.A 10431RX (Louisiana).

The current practice location address for Lisa Rene Deshotel is 1602 W Pinhook Rd, Lafayette, LA and can be reached out via phone at 337-234-9925 and via fax at 337-237-5211.

Location: 1602 W Pinhook Rd, Lafayette, LA, 70508-5392
person
Provider Profile Details
NPI Number
1750413225
Provider Name
Lisa Rene Deshotel
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1602 W Pinhook Rd, Lafayette, LA, 70508-5392
Phone Number
337-234-9925
Fax Number
337-237-5211
Provider Enumeration Date
03/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1602 W Pinhook Rd
City
State
Zip
70508-3735
Phone Number
337-234-9925
Fax Number
337-237-5211
person
Provider Business Mailing Address Details
Address
1602 W Pinhook Rd
City
State
Zip
70508-3735
Phone Number
337-234-9925
Fax Number
337-237-5211
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA.A 10431RX (Louisiana)
Definition
Definition to come...
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