Doctor Name: | CHRISTINA ALLAINE LORD |
NPI Number: | 1821082553 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 15446R |
Business Practice Address: | 800 S 3rd St Leesville, LA - 714464750 |
Business Phone Number: | 3372391980 |
Business Fax Number: | 3372391983 |
Mailing Address: | 800 S 3rd St, LEESVILLE |
State: | LA |
Postal Code: | 714464750 |
Phone Number: | 3372391980 |
Fax Number: | 3372391983 |
NPI Enumeration Date: | 09/08/2005 |
NPI Last Update Date: | 08/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/25/2006 |
NPI Reactivation Date: | 03/31/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 15446R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |