Individual
LOUIS VICTOR CRENSHAW II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP C
Contact information
Practice address
12805 HIGHWAY 28 E, SUITE B, PINEVILLE, LA 71360-0734
(318) 466-5151
(318) 466-3535
Mailing address
12805 HIGHWAY 28 E, SUITE B, PINEVILLE, LA 71360-0734
(318) 466-5151
(318) 466-3535
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP04196
LA
363L00000X
Nurse Practitioner
RN089438
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1151581
—
LA
01
—
P00014189
RAILROAD MEDICARE-PALMETT
LA
Enumeration date
03/02/2006
Last updated
04/16/2014
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