Individual
STEVEN FLOYD COPPOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8852 LOCKHART RD, DENHAM SPRINGS, LA 70726
(225) 665-7409
Mailing address
PO BOX 1071, DENHAM SPRINGS, LA 70727
(225) 665-7409
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
M036963
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP02513
LA
Other
Enumeration date
04/25/2006
Last updated
05/29/2008
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