Individual provider · Type 1 NPI

Lisa Ianneillo Rubino, NP

Family Nurse Practitioner · Lake Charles, LA

NPI number 1154833523 Active

Practice location

1717 Oak Park Blvd Fl 3
Lake Charles, LA 70601-8990

Fax (337) 494-2085

Mailing address

PO Box 122425 Dept 2425
Dallas, TX 75312-2425

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP04844 (LA)

Family Nurse Practitioner: Definition to come...

26 other providers at this address

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About NPI 1154833523

Lisa Ianneillo Rubino, NP's National Provider Identifier is 1154833523, issued on Oct 25, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Charles, LA. The record was last updated on Jun 9, 2022.