Individual provider · Type 1 NPI
Lisa Tillman Edison
Rehabilitation Clinic/Center · New Orleans, LA
NPI number
1902394745
Active
Practice location
2331 Canal St
New Orleans, LA 70119-6503
Mailing address
PO Box 3017
Harvey, LA 70059-3017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Clinic/Center Primary | 261QR0400X | None listed |
Rehabilitation Clinic/Center: Definition to come...
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About NPI 1902394745
Lisa Tillman Edison's National Provider Identifier is 1902394745, issued on Apr 26, 2018. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in New Orleans, LA. The record was last updated on Apr 27, 2018.