Dr. Lisa M Jaubert, MD
Pain Medicine, Interventional Pain Medicine in Covington, LA. Individual provider (NPI-1).
NPI number1144410796
StatusActive
Last updated in NPPESDec 9, 2022
Details
- NPI
- 1144410796
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lisa M Jaubert
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2007
- Certification date
- Dec 10, 2021
- Last updated
- Dec 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | 203313 | LA | Yes |
| 208100000X | Physical Medicine & Rehabilitation | 203313 | LA | |
| 2081S0010X | Physical Medicine & Rehabilitation, Sports Medicine | 203313 | LA |
Practice location
1200 Pinnacle Pkwy Ste 7Covington, LA 70433-9169
Phone 985-643-4144 · Fax 985-643-3603
Mailing address
1200 Pinnacle Pkwy Ste 7Covington, LA 70433-9169
Phone 985-807-1919 · Fax 985-807-1918
Other practice locations
2101 Robin Ave Ste 11
Hammond, LA 70403-5773
Hammond, LA 70403-5773
Phone 985-230-1860 · Fax 985-230-1861
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