Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP08783 | LA |
NPI | 1003264847 |
---|---|
Provider Name | Ms. Heather Nicole Lombard |
First Address | Metairie, LA 70006-6673 |
Second Address | Metairie, LA 70006-6673 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2016 |
Last Update Date | 02/06/2016 |