MEDICARE: ALLISON LUCILLE BALLARD

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	3747A0650X	Attendant Care Provider		NV

General Provider Information

NPI Number	:	1497617922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON LUCILLE BALLARD

Provider Business Mailing Address
First Line	:	31196 BURGESS RD
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-1669
Country	:	US
Telephone Number	:	281-889-2895
Fax Number	:

Provider Business Practice Location Address
First Line	:	31196 BURGESS RD
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-1669
Country	:	US
Telephone Number	:	281-889-2895
Fax Number	:

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

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	06/02/2026

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