REGINA FAKNER, MD, LLC

SHREVEPORT, LA
NPI1376618439
Entity TypeOrganization
Authorized ContactREGIAN FAKNER
Owner
318-226-4892
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: LA  11308R)
Enumeration Date2006-11-22
Last Update Date2009-10-08
Business Address
REGINA FAKNER, MD, LLC
1801 FAIRFIELD AVE SUITE 203
SHREVEPORT, LA 71101-4443
Phone number: 318-226-4892
Mailing Address
REGINA FAKNER, MD, LLC
1801 FAIRFIELD AVE SUITE 203
SHREVEPORT, LA 71101-4443
Phone number: 318-226-4892