Individual
RAQUEL DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7925 YOUREE DR STE 200, SHREVEPORT, LA 71105-5134
(318) 212-3610
(318) 212-3709
Mailing address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-8951
(318) 212-6752
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
303849
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2434501
—
LA
Enumeration date
12/05/2016
Last updated
06/23/2021
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