Individual provider · Type 1 NPI

Lisa Marie Church, NP

Family Nurse Practitioner · Lake Charles, LA

NPI number 1356089148 Active

Practice location

1890 W Gauthier Rd Ste 135
Lake Charles, LA 70605-7179

Fax (337) 480-5511

Mailing address

604 N Acadia Rd Ste 101
Thibodaux, LA 70301-4897

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X223797 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1356089148

Lisa Marie Church, NP's National Provider Identifier is 1356089148, issued on May 23, 2022. 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 Dec 23, 2025.