Individual
DR. CARMELL LENERT-WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9300 MANSFIELD RD, SUITE 110, SHREVEPORT, LA 71118-3155
(318) 629-3763
Mailing address
9300 MANSFIELD RD, SUITE 110, SHREVEPORT, LA 71118-3155
(318) 629-3763
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD20395
LA
207P00000X
Emergency Medicine Physician
Primary
MD.203095
LA
207P00000X
Emergency Medicine Physician
P2480
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1888389
—
LA
Enumeration date
05/09/2007
Last updated
06/11/2021
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