Individual
LAWRENCE DWAYNE COUNTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 DAVID RAINES RD, SHREVEPORT, LA 71107-5899
(318) 425-2252
(318) 425-2367
Mailing address
PO BOX 740012, ATLANTA, GA 30374-0012
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
20851
MS
207RN0300X
Nephrology Physician
E3271
AR
207RN0300X
Nephrology Physician
Primary
MD.203460
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148220001
—
AR
Enumeration date
02/17/2006
Last updated
12/18/2024
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