Individual
LARRY LUCAS FLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8001 YOUREE DR, SUITE 540, SHREVEPORT, LA 71115-2302
(318) 212-3810
(318) 212-3815
Mailing address
8001 YOUREE DR, SUITE 540, SHREVEPORT, LA 71115-2302
(318) 212-3810
(318) 212-3815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
019421
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1910937
—
LA
Enumeration date
06/24/2006
Last updated
07/12/2021
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