Individual provider · Type 1 NPI
Lisa Penton Mejia, APRN
Adult Health Nurse Practitioner · Bogalusa, LA
NPI number
1114078839
Active
Practice location
433 Plaza St Ste 38
Bogalusa, LA 70427-3729
Fax (985) 730-2305
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP04640 (LA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | AP04640 (LA) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1114078839
Lisa Penton Mejia, APRN's National Provider Identifier is 1114078839, issued on Jan 16, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bogalusa, LA. The record was last updated on Feb 13, 2018.