Provider Information for 1295278745
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CHRISTI LISENBY-HART
Sex: Female
NPI: 1295278745
Last Updated: 2024-04-16
Certification Date: 2024-04-16
Certification Date: 2024-04-16
Details
Name | Value | ||||||||||||
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NPI | 1295278745 | ||||||||||||
Enumeration Date | 2016-11-30 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 10473 OLD HAMMOND HWY BATON ROUGE, LA 70816-8264 United States Phone: 225-924-1910 | Fax: | ||||||||||||
Primary Practice Address | 10473 OLD HAMMOND HWY BATON ROUGE, LA 70816-8264 United States Phone: 225-924-1910 | Fax: | ||||||||||||
Secondary Practice Address(es) | 5420 CORPORATE BLVD STE 308 | ||||||||||||
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