PEDIATRIC PROVIDERS OF LOUISIANA

NPI # 

Practice Address:

4140 Hollywood Ave

Shreveport, LA, 71109-7818

Practice Phone:

318-621-9600

Practice Fax:

318-621-0169

License Number:

06203R

License State:

LA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Health Service

Taxonomy Code:

261QH0100X

Updated by NPPES on 8/21/2009. You can view the original data set for NPI # 1548494578 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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PEDIATRIC PROVIDERS OF LOUISIANA's

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