MRS. LISA RENE DESHOTEL (NPI# 1750413225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750413225 |
| Entity Type | Individual |
| Full Name | MRS. LISA RENE DESHOTEL |
| Credential | PA-C |
| Practice Address |
1602 W Pinhook Rd Suite 100 Lafayette LA 70508-3735 |
| Mailing Address |
102 Isaiah Dr Lafayette, La Lafayette LA 70508-5392 |
| Practice Telephone | 3372349925 |
| Practice Fax Number | 3372375211 |
| Mailing Telephone | 3372615232 |
| Mailing Fax Number | 3372375211 |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.A 10431RX | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1602 W PINHOOK RD SUITE 100 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962567875 | Rene Leblanc | Physical Therapist | 1602 W Pinhook Rd, Ste 103, Lafayette, LA 70508-3735 | 2006-12-22 |
| 1295145530 | Solutions Recovery, LLC | Clinic/Center | 1602 W Pinhook Rd, Suite 100a, Lafayette, LA 70508-3735 | 2014-05-07 |
| 1700137510 | Nova Dental Group, LLC | Dentist | 1602 W Pinhook Rd, Suite 303, Lafayette, LA 70508-3735 | 2012-09-20 |
| 1982908109 | Hanna Odile Brinkhaus | Social Worker | 1602 W Pinhook Rd, Lafayette, LA 70508-3735 | 2011-01-03 |
| 1932361094 | Eric Nathaniel Vondenstein | Dentist | 1602 W Pinhook Rd, Suite 303, Lafayette, LA 70508-3735 | 2008-06-30 |
| 1801057120 | Cajun Spine and Sport, LLC | Chiropractor | 1602 W Pinhook Rd, Suite 211, Lafayette, LA 70508-3735 | 2008-06-19 |
| 1205033743 | Alison Z Legros | Dietitian, Registered | 1602 W Pinhook Rd, Suite 204, Lafayette, LA 70508-3735 | 2007-06-28 |
| 1336204197 | Charles Langford | Family Medicine | 1602 W Pinhook Rd, Ste 100, Lafayette, LA 70508-3735 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321788 | April Marie Przyborski | Physician Assistant | 1701 S Creasy Ln Ste 2j20, Lafayette, IN 47905-4972 | 2020-09-18 |
| 1932658002 | Taylor Christensen Mahtook | Physician Assistant | 4650 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-6926 | 2016-09-29 |
| 1871900936 | Leigh Hannah Culpepper | Physician Assistant | 200 Corporate Blvd Ste 201, Lafayette, LA 70508-3870 | 2014-07-21 |
| 1265623722 | Morgan Anne Mannina-williams | Physician Assistant | 1103 Kaliste Saloom Rd Ste 100, Lafayette, LA 70508-5784 | 2007-08-08 |
| 1417085192 | Moss Street Medical Clinic Inc | Physician Assistant | 1417 Moss St, Lafayette, LA 70501-3654 | 2007-03-02 |
| 1245391960 | Lena Opitz Sevin | Physician Assistant | 105 Patriot St, Ste 101, Lafayette, LA 70508-6831 | 2006-12-13 |
| 1952413726 | Meaghan Tara Saint | Physician Assistant | 978 2nd St Ste 220, Lafayette, CA 94549-4546 | 2006-08-31 |
| 1962467894 | Lucy Judson | Physician Assistant | 2000 W South Boulder Road, Lafayette, CO 80026-1389 | 2006-04-20 |
| 1609845130 | Emergency Group of Lafayette LLC | Physician Assistant | 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2006-03-16 |
| 1336138692 | Natalie Deshotels | Physician Assistant | 443 Heymann Blvd, Suite A, Lafayette, LA 70503-2632 | 2005-10-19 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.