Individual
LASHAWNDA MONIQUE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2924 KNIGHT ST STE 434, SHREVEPORT, LA 71105-2413
(318) 631-1122
(318) 866-9622
Mailing address
2924 KNIGHT ST STE 434, SHREVEPORT, LA 71105-2413
(318) 631-1122
(318) 866-9622
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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