Organization
WELLNESS PASS BY LURAGUIZ MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIA LURAGUIZ MD (OWNER)
(318) 426-8351
Entity
Organization
Contact information
Practice address
1534 ELIZABETH AVE STE 401, SHREVEPORT, LA 71101-4531
(318) 431-8613
(318) 314-2203
Mailing address
1534 ELIZABETH AVE STE 401, SHREVEPORT, LA 71101-4531
(318) 431-8613
(318) 314-2203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19D1055958
CLIA
LA
Enumeration date
02/01/2023
Last updated
06/24/2023
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