| NPI | 1619443611 |
|---|---|
| Doing Business As | OCHSNER LSU HEALTH SHREVEPORT |
| Entity Type | Organization |
| Authorized Contact | VERNON MOORE CFO 318-626-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-12-10 |