Individual
LAURIE C. WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4600
Mailing address
2290 N CROSS DR, SHREVEPORT, LA 71107-3617
(318) 929-4553
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN057960
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1683116
—
LA
Enumeration date
11/28/2005
Last updated
10/15/2008
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