Individual
MR. JOHN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1118 S FARMERVILLE ST, RUSTON, LA 71270-5914
(318) 232-7700
(318) 232-7148
Mailing address
1118 S FARMERVILLE ST, RUSTON, LA 71270-5914
(318) 232-7700
(318) 232-7148
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
71637
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71637
LICENSE
LA
Enumeration date
02/28/2007
Last updated
07/08/2007
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