Lisa Tebault

NPI #1689065880 in New Orleans, Louisiana

Provider Information

NPI Number: 1689065880
Entity Type: Individual
Name: Lisa Tebault
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Enumeration Date: Feb 10, 2015
Last Updated: Mar 19, 2015

Practice Location

Address: 11650 WEST BARRINGTON DR
City: New Orleans
State: Louisiana
ZIP Code: 70128
Phone: (504) 221-9531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X	Primary

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