Doctor Name: | MS. MELISSA A. LAMA |
NPI Number: | 1134489032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | AP06601 |
Business Practice Address: | 105 E Oak St Ponchatoula, LA - 704542619 |
Business Phone Number: | 9853866198 |
Business Fax Number: | 9853866223 |
Mailing Address: | 105 E Oak St, PONCHATOULA |
State: | LA |
Postal Code: | 704542619 |
Phone Number: | 9853866198 |
Fax Number: | 9853866223 |
NPI Enumeration Date: | 05/24/2012 |
NPI Last Update Date: | 05/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | AP06601 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |