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NPI Code Detail

MEDICARE: LISA GRIFFIN APRN

MEDICARE: LISA GRIFFIN APRN
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerTAP003245LA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP08077LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609273002
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA GRIFFIN APRN
Provider Business Mailing Address
First Line : PO BOX 93335
Second Line :
City : LAFAYETTE
State : LA
Zip : 70509-3335
Country : US
Telephone Number : 337-345-5644
Fax Number : 337-703-4329
Provider Business Practice Location Address
First Line : 1009 CHARITY ST
Second Line :
City : ABBEVILLE
State : LA
Zip : 70510-5302
Country : US
Telephone Number : 337-893-3443
Fax Number : 337-893-3439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2014
Last Update Date : 03/07/2023

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