Lorenzo Boykin Fisher, APRN, FNP-C | |
29301 N Dixie Ranch Rd, Lacombe, LA 70445 | |
(985) 871-4114 | |
(985) 871-4130 |
Full Name | Lorenzo Boykin Fisher |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 29301 N Dixie Ranch Rd, Lacombe, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013983378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP03219 (Louisiana) | Primary |
Entity Name | St Tammany Parish Hospital Service District No 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083793582 PECOS PAC ID: 0749273761 Enrollment ID: O20150915001107 |
Entity Name | Spine Innovations Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366973935 PECOS PAC ID: 3375828684 Enrollment ID: O20170329002222 |
Mailing Address | Practice Location Address |
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Lorenzo Boykin Fisher, APRN, FNP-C 29301 N Dixie Ranch Rd, Lacombe, LA 70445 Ph: (985) 871-4114 | Lorenzo Boykin Fisher, APRN, FNP-C 29301 N Dixie Ranch Rd, Lacombe, LA 70445 Ph: (985) 871-4114 |
Arris Slocum Brunet, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29301 N Dixie Ranch Road, Lacombe, LA 70445 Phone: 985-871-4114 Fax: 985-871-4130 | |
Mrs. Tiffany T Houser, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 64301 Highway 434, Lacombe, LA 70445 Phone: 985-882-4500 Fax: 985-882-4501 | |
Mr. Ray Lewis Campo Jr., FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61159 W Springmill Dr, Lacombe, LA 70445 Phone: 985-882-6739 |