LAKISHIA LEWIS GRIDER

SHREVEPORT, LA
NPI1225292576
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: LA  AP05636)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: LA  099673)
Enumeration Date2008-07-16
Last Update Date2024-03-14
Business Address
LAKISHIA LEWIS GRIDER NP
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
LAKISHIA LEWIS GRIDER NP
8001 YOUREE DR STE 4007
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3821
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