Boudreaux, Alisha

Boudreaux, Alisha is an individual health care provider with primary practice located at 2903 1St Ave , Lake Charles LA 70601-8809. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Boudreaux, Alisha can be contacted via phone (337) 478-6480.

Contact Information

Primary practice address
2903 1St Ave Lake Charles LA 70601-8809
Phone: (337) 478-6480
Fax: (337) 474-9637
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP07984 Louisiana

Profile Details

NPI number 1922416841
LBN Legal business name Boudreaux, Alisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2014
Last updated Jul 23rd, 2014 - about 12 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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