| Lisa M Judge, DDS | |
|
3932 Highway 90 W, Avondale, LA 70094-2648 | |
| (504) 436-2223 | |
| Not Available |
| Full Name | Lisa M Judge |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 3932 Highway 90 W, Avondale, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013172659 | NPI | - | NPPES |
| 000764112B | Medicaid | GA | |
| 1844306 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN011180 (Georgia) | Secondary |
| 1223G0001X | Dentist - General Practice | 4430 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Judge, DDS Po Box 2490, Marrero, LA 70073-2490 Ph: () - | Lisa M Judge, DDS 3932 Highway 90 W, Avondale, LA 70094-2648 Ph: (504) 436-2223 |
Dr. Kim H Nguyen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3932 Highway 90 W, Avondale, LA 70094 Phone: 504-436-2223 | |
Dr. Candice Donielle St. Etienne, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3932 Highway 90 W, Avondale, LA 70094 Phone: 504-341-4006 |