Individual
LAKISHIA LEWIS GRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
8001 YOUREE DR STE 4007, SHREVEPORT, LA 71115-2302
(318) 212-3821
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
099673
LA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP05636
LA
Other
Enumeration date
07/16/2008
Last updated
03/14/2024
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