Boudreaux, Alisha

Boudreaux, Alisha is an individual health care provider with primary practice located at 2903 1St Ave , Lake Charles LA 70601-8809. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Boudreaux, Alisha can be contacted via phone (337) 478-6480.

Contact Information

Primary practice address

2903 1St Ave Lake Charles LA 70601-8809

Phone: (337) 478-6480

Fax: (337) 474-9637

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics	363LP0200X	AP07984	Louisiana

Profile Details

NPI number	1922416841
LBN Legal business name	Boudreaux, Alisha
Credentials
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jul 23rd, 2014
Last updated	Jul 23rd, 2014 - about 12 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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