LISA NICOLE KELLOGG

SHREVEPORT, LA
NPI1013258896
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  AP07151)
Enumeration Date2013-03-04
Last Update Date2016-09-09
Business Address
Ms. LISA NICOLE KELLOGG CRNA
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5000
Mailing Address
Ms. LISA NICOLE KELLOGG CRNA
9329 CASTLEBROOK DR
SHREVEPORT, LA 71129-4807
Phone number: 318-458-9568
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