NORTHWEST LOUSIANA PHYSCIAL MEDICINE

SHREVEPORT, LA
NPI1720071590
Entity TypeOrganization
Authorized ContactJENNESS COURTNEY
President
318-424-4224
Organization Subpart ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
Enumeration Date2005-08-26
Last Update Date2010-03-03
Business Address
NORTHWEST LOUSIANA PHYSCIAL MEDICINE
1801 FAIRFIELD AVE STE 411
SHREVEPORT, LA 71101-4443
Phone number: 318-424-4224
Mailing Address
NORTHWEST LOUSIANA PHYSCIAL MEDICINE
1801 FAIRFIELD AVE STE 411
SHREVEPORT, LA 71101-4443
Phone number: 318-424-4224
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