Provider Demographics
NPI:1720427966
Name:PIZZOLATO, LINDSI DELAHOUSSAYE (NP)
Entity Type:Individual
Prefix:
First Name:LINDSI
Middle Name:DELAHOUSSAYE
Last Name:PIZZOLATO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1233 WAYNE GILMORE CIR
Mailing Address - Street 2:SUITE 250B
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-6405
Mailing Address - Country:US
Mailing Address - Phone:337-407-1955
Mailing Address - Fax:337-407-1956
Practice Address - Street 1:1233 WAYNE GILMORE CIR
Practice Address - Street 2:SUITE 250B
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-6405
Practice Address - Country:US
Practice Address - Phone:337-407-1955
Practice Address - Fax:337-407-1956
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAF0613621363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner