Individual
LAURA GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1939 E 70TH ST, SHREVEPORT, LA 71105-5351
(318) 383-0163
Mailing address
734 ONEONTA ST, SHREVEPORT, LA 71106-1624
(337) 288-6972
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
237262
LA
Other
Enumeration date
08/23/2024
Last updated
08/27/2024
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