Lissard, Janine
Lissard, Janine is an sole proprietor health care provider with primary practice located at 9605 Jefferson Hwy , River Ridge LA 70123-2550. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lissard, Janine can be contacted via phone (504) 738-1604.Contact Information
Primary practice address
9605 Jefferson Hwy
River Ridge LA 70123-2550
Phone: (504) 738-1604
Fax: (504) 738-7860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 023752 | Louisiana |
Profile Details
| NPI number | 1902800451 |
|---|---|
| LBN Legal business name | Lissard, Janine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Nov 15th, 2016 - about 10 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 | 1902800451 | NPPES |
| Louisiana | MEDICAID | 1484911 |
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