Organization
METABOLIC HEALTH RESTORATION
Active
Other names
Diabetic Life Pulse of Louisiana, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH K ADCOCK MD (MEDICAL DIRECTOR)
(318) 698-8889
Entity
Organization
Contact information
Practice address
8575 FERN AVE, SUITE 110, SHREVEPORT, LA 71105-5676
(318) 698-8889
(318) 698-8893
Mailing address
8575 FERN AVE, SUITE 110, SHREVEPORT, LA 71105-5676
(318) 698-8889
(318) 698-8893
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C12615
LA
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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