Authement, Lisa Russo

Authement, Lisa Russo is an individual health care provider with primary practice located at 911 Verret St , Houma LA 70360-4637. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Authement, Lisa Russo can be contacted via phone (985) 876-7388.

Contact Information

Primary practice address
911 Verret St Houma LA 70360-4637
Phone: (985) 876-7388
Fax: (985) 872-2878
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP05301 Louisiana
Nursing Service Providers / Registered Nurse 163W00000X RN078449 Louisiana

Profile Details

NPI number 1417143249
LBN Legal business name Authement, Lisa Russo
Credentials MSN-APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2007
Last updated Jun 21st, 2013 - about 11 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 1417143249 NPPES
Louisiana MEDICAID 1030431

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