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1679792014
FRED A. LORD
SHREVEPORT, LA
NPI
1679792014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA 033348)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
MR. FRED A. LORD CRNA
745 OLIVE ST SUITE 100
SHREVEPORT, LA 71104-2246
Phone number: 318-227-1163
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Mailing Address
MR. FRED A. LORD CRNA
243 SCARLETT PVT DR
GLOSTER, LA 71030
Phone number: 318-925-5826
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