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Contact Information

LISA S THIBODEAUX, MD
1126 MARGUERITE ST
STE A
MORGAN CITY, LA70380-1891
 Phone: 985-917-3007
 Fax: 985-702-9286
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for LISA S THIBODEAUX · (Female)

NPI Number 1417148933
Status Active
Credentials MD
Entity Individual
Enumeration date 08/08/2007
Last updated 02/03/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 200182
  • LA Medicaid 1065200
Hospital affiliation(s)
  • TERREBONNE GENERAL MEDICAL CENTER - (Acute Care)
    8166 MAIN STREET
    HOUMA, LA 70360
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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