Lisa M Judge, DDS | |
3932 Highway 90 W, Avondale, LA 70094-2648 | |
(504) 436-2223 | |
Not Available |
Full Name | Lisa M Judge |
---|---|
Gender | Female |
Speciality | Dentist - General Practice |
Location | 3932 Highway 90 W, Avondale, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013172659 | NPI | - | NPPES |
000764112B | Medicaid | GA | |
1844306 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN011180 (Georgia) | Secondary |
1223G0001X | Dentist - General Practice | 4430 (Louisiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lisa M Judge, DDS Po Box 2490, Marrero, LA 70073-2490 Ph: () - | Lisa M Judge, DDS 3932 Highway 90 W, Avondale, LA 70094-2648 Ph: (504) 436-2223 |
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› Verified 3 days ago
Dr. Kim H Nguyen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3932 Highway 90 W, Avondale, LA 70094 Phone: 504-436-2223 |