Tyler G. Lusignan PT - Physical Therapist in Jefferson, Louisiana | ProviderWire

Full Name

Tyler Gregory Lusignan PT

NPI Number

1225511462

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/13/2018

Specialties

(Taxonomies)

Name

Physical Therapist

Code

225100000X

Primary Taxonomy

Yes

Licenses

State

Louisiana

License Number

09976

Contact
Information

Purpose

Mailing

Location

Address

101 RIVER RD STE 112

101 RIVER RD STE 112

City

Jefferson

Jefferson

State

LA

LA

Postal Code

70121-4226

70121-4226

Country

US

US

Telephone Number

(504) 828-7696

(504) 828-7696

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/13/2018

Provider Address

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