Provider Demographics
NPI:1952532020
Name:ROBERTSON-POITIER, LISA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:
Last Name:ROBERTSON-POITIER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:ROBERTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:4021 WE HECK CT STE B2
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-0405
Mailing Address - Country:US
Mailing Address - Phone:225-367-1022
Mailing Address - Fax:225-237-1722
Practice Address - Street 1:4021 WE HECK CT STE B2
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-0405
Practice Address - Country:US
Practice Address - Phone:225-367-1022
Practice Address - Fax:844-810-6312
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP05902363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1888176Medicaid
LA1888176Medicaid