Most Relevant Information
Provider Data
| NPI Number: | 1003508623 |
| Provider Name: | LISA M TOVES ABOC |
| Entity Type: | Individual |
| Taxonomy Code: | 156FX1800X |
| Specialty: | Technician/Technologist |
| License Number: | 245045 |
Most Important Dates
| Enumeration Date: | 05/23/2023 |
| Last Updated: | 05/23/2023 |
Provider Practice Location
2204 S 5TH ST
LEESVILLE
LA
714465318
Practice Location Phone/Fax
| Phone: | 3372389819 |
| Fax: |
Provider Mailing Location
122 COBB RD
LEESVILLE
LA
714466285
Provider Mailing Phone/Fax
| Phone: | 3373536139 |
| Fax: |