Individual
LEE MICHALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 813-2445
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 813-2445
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD.208221
LA
2084P0802X
Addiction Psychiatry Physician
MD.208221
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2012
Last updated
08/31/2023
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