Individual
MRS. TINA MARIE LAWHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2945 SHREVEPORT HWY, PINEVILLE, LA 71360
(318) 466-4000
Mailing address
2945 SHREVEPORT HWY, PINEVILLE, LA 71360
(318) 466-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
205923
LA
Other
Enumeration date
06/05/2019
Last updated
09/10/2019
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