| NPI | 1629544622 | 
|---|---|
| Doing Business As | OCHSNER LSU HEALTH SHREVEPORT | 
| Entity Type | Organization | 
| Authorized Contact | VERNON MOORE CFO 318-626-0000  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered | 
| Enumeration Date | 2018-10-17 | 
| Last Update Date | 2018-12-10 |