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General NPI Number Information
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NPI Number | 1235499864
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Entity Type | Individual
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Provider Name | LISA PRESTENBACK-DUFRENE A.P.R.N.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 2832 BURDETTE ST
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City | NEW ORLEANS
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State | LA
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Zip | 70125-2514
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Country | US
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Telephone | 504-210-0890
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Fax | 504-210-0891
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Provider Business Mailing Address
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Address Line | 601 MANSON AVE
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City | METAIRIE
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State | LA
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Zip | 70001-4826
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Country | US
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Telephone | 504-210-0890
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Fax | 504-210-0891
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP06028
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License Number State | LA
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