NPI 1235316217

Dr. Lisa Bailey

Organisation Point of Service Gonzales, LA

Practice location

Address: 225 W Ascension St, Gonzales, LA 70737-2803
Phone: (225) 644-4976
Fax: (225) 647-4442

Authorised official

Name: Lisa Churchman Bailey
Title: Owner
Phone: (225) 644-4976

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 4685 (LA)

Other Point of Service providers in Louisiana →

Registry record

NPI: 1235316217
Entity type: Organization
NPI issued: 22 Jan 2008
Record last updated: 22 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.