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CALVIN LUKE IVIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(318) 442-5399
(318) 442-1586
Mailing address
PO BOX 5887, ALEXANDRIA, LA 71307-5887
(318) 442-5399
(318) 442-1586

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
234279
LA

Other

Enumeration date
01/05/2024
Last updated
02/06/2024
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