Provider Demographics
NPI:1730407537
Name:PATE, LISA MARIE (ND)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:MARIE
Last Name:PATE
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Gender:F
Credentials:ND
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Mailing Address - Street 1:109 INNWOOD DR STE B
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-9126
Mailing Address - Country:US
Mailing Address - Phone:985-893-9019
Mailing Address - Fax:985-893-9991
Practice Address - Street 1:109 INNWOOD DR STE B
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-9126
Practice Address - Country:US
Practice Address - Phone:985-893-9019
Practice Address - Fax:985-893-9991
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-04
Last Update Date:2024-09-30
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Provider Licenses
StateLicense IDTaxonomies
WANT00001601175F00000X
LA209795363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No175F00000XOther Service ProvidersNaturopath