Defusco, Lisa Michele
Defusco, Lisa Michele is an sole proprietor health care provider with primary practice located at 4901 Veterans Blvd. , Metairie LA 70001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Defusco, Lisa Michele can be contacted via phone (504) 887-1133.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD.026056 | Louisiana |
Profile Details
| NPI number | 1295830081 |
|---|---|
| LBN Legal business name | Defusco, Lisa Michele |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Nov 20th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295830081 | NPPES |
| Louisiana | MEDICAID | 1050962 | |
| Louisiana | MEDICAID | 09876251 |
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