Lalisa Wade, FAMILY NURSE PRACTIT
NPI #1710161385 in Sicily Island, Louisiana
Provider Information
- NPI Number
- 1710161385
- Entity Type
- Individual
- Name
- Lalisa Wade, FAMILY NURSE PRACTIT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FAMILY NURSE PRACTIT
- Enumeration Date
- Dec 19, 2007
- Last Updated
- Jan 31, 2023
Practice Location
- Address
- 307 CHISUM ST
- City
- Sicily Island
- State
- Louisiana
- ZIP Code
- 71368-4807
- Phone
- (318) 389-5727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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