LANE S CARLISLE

SHREVEPORT, LA
NPI1710319678
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: LA  110585)
Enumeration Date2013-08-02
Last Update Date2013-08-02
Business Address
Mr. LANE S CARLISLE NP
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-990-4770
Mailing Address
Mr. LANE S CARLISLE NP
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-990-4770
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