MRS. LISA RENE DESHOTEL PA-C NPI 1750413225

NPI Information

NPI: 1750413225
Provider Name: MRS. LISA RENE DESHOTEL, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1602 W PINHOOK RD
SUITE 100
LAFAYETTE, LA
ZIP 70508
Phone: (337) 234-9925
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MRS. Lisa Rene Deshotel, PA-C is a medical physician assistant in Lafayette, LA. MRS. Lisa Rene Deshotel, PA-C NPI is 1750413225. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1602 W PINHOOK RD
SUITE 100
LAFAYETTE, LA
ZIP 70508-735
Phone: (337) 234-9925
Fax: (337) 237-5211

The enumeration date for this NPI number is 3/11/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA.A 10431RX	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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