Provider Demographics
NPI:1467670141
Name:DIGIOIA-ROSS, LISA M (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:M
Last Name:DIGIOIA-ROSS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4224 HOUMA BLVD
Mailing Address - Street 2:SUITE #430
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2933
Mailing Address - Country:US
Mailing Address - Phone:504-455-7536
Mailing Address - Fax:504-888-9388
Practice Address - Street 1:4224 HOUMA BLVD
Practice Address - Street 2:SUITE #430
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2933
Practice Address - Country:US
Practice Address - Phone:504-455-7536
Practice Address - Fax:504-888-9388
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16080183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA16080OtherLA BRD OF PHARM LICENSE #