FRED A. LORD

SHREVEPORT, LA
NPI1679792014
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  033348)
Enumeration Date2007-04-24
Last Update Date2007-07-08
Business Address
Mr. FRED A. LORD CRNA
745 OLIVE ST SUITE 100
SHREVEPORT, LA 71104-2246
Phone number: 318-227-1163
Mailing Address
Mr. FRED A. LORD CRNA
243 SCARLETT PVT DR
GLOSTER, LA 71030
Phone number: 318-925-5826
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