Individual
MR. ROBERT CULLEN HEARNE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
901 WHITE ST, RUSTON, LA 71270-5960
(318) 251-4150
(318) 251-4177
Mailing address
PO BOX 98, RUSTON, LA 71273-0098
(318) 251-4151
(318) 251-4177
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN042404
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710342
—
LA
Enumeration date
05/03/2006
Last updated
07/08/2007
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