Organization
CASTING CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASONYA JONES NP (OWNER)
(318) 401-1432
Entity
Organization
Contact information
Practice address
7840 JEWELLA AVE, SHREVEPORT, LA 71108-5004
(318) 401-1432
Mailing address
5412 SUSANNA DR, BOSSIER CITY, LA 71112-4944
(318) 401-1432
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/23/2021
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