NPI 1134653025

Lisa Bercegeay, BALMTCSTP

Practitioner Contractor Saint Amant, LA

Practice location

Address: 45016 Gold Place Rd, Saint Amant, LA 70774-3619
Phone: (225) 571-2943

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence LA5459 (LA)

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Registry record

NPI: 1134653025
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Apr 2017
Record last updated: 17 Apr 2017

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.