Most Relevant Information
Provider Data
NPI Number: | 1003408154 |
Provider Name: | LISA JONES |
Entity Type: | Individual |
Taxonomy Code: | 2255A2300X |
Specialty: | Specialist/Technologist |
License Number: |
Most Important Dates
Enumeration Date: | 02/10/2021 |
Last Updated: | 02/10/2021 |
Provider Practice Location
198 PARKWAY CIR
WEST MONROE
LA
712928032
Practice Location Phone/Fax
Phone: | 3186004225 |
Fax: | 3186004228 |
Provider Mailing Location
198 PARKWAY CIR
WEST MONROE
LA
712928032
Provider Mailing Phone/Fax
Phone: | 3186004225 |
Fax: | 3186004228 |