MEDICARE: MRS. LISA LOUISE SCHEXNIDER NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	234537	LA

General Provider Information

NPI Number	:	1225885197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LISA LOUISE SCHEXNIDER NP

Provider Business Mailing Address
First Line	:	1028 FORUM DR
Second Line	:
City	:	BROUSSARD
State	:	LA
Zip	:	70518-8060
Country	:	US
Telephone Number	:	337-326-9327
Fax Number	:

Provider Business Practice Location Address
First Line	:	1028 FORUM DR
Second Line	:
City	:	BROUSSARD
State	:	LA
Zip	:	70518-8060
Country	:	US
Telephone Number	:	337-326-9327
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2024
Last Update Date	:	05/01/2024

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