Organization
1ST CHOICE MEDICAL LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEKISHA RUSSELL LPN (CLINICAL DIRECTOR/NURSE)
(877) 868-9675
Entity
Organization
Contact information
Practice address
2920 KNIGHT ST STE 131, SHREVEPORT, LA 71105-2412
(877) 868-9675
Mailing address
2920 KNIGHT ST STE 131, SHREVEPORT, LA 71105-2412
(877) 868-9675
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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