Craft, Lisa D

Craft, Lisa D is an individual health care provider with primary practice located at 711 N Broad St , New Orleans LA 70119-4206. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Craft, Lisa D can be contacted via phone (504) 988-3002.

Contact Information

Primary practice address
711 N Broad St New Orleans LA 70119-4206
Phone: (504) 988-3002
Fax: (504) 988-4050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X AP033420 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 033420 Louisiana

Profile Details

NPI number 1699883603
LBN Legal business name Craft, Lisa D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Aug 30th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699883603 NPPES
Mississippi MEDICAID 00125337
Mississippi MEDICAID 1554367
Mississippi MEDICAID 891017616

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