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Lisa Theriot

NPI 1194116897 · on the registry since 2015 · sole proprietor

Practice

Address
31091 Blossom St
Denham Springs, LA 70726
Phone
(985) 255-2311

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-02-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana