Individual
JOHN L ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
501 E STONER AVE, SHREVEPORT, LA 71101-4242
(318) 424-6133
Mailing address
501 E STONER AVE, SHREVEPORT, LA 71101-4242
(318) 424-6133
Taxonomy
Speciality
Code
Description
License number
State
163WU0100X
Urology Registered Nurse
Primary
RN039685
LA
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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