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Individual

MRS. LUANN KARSTEN PEARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LOTR

Contact information

Practice address
9518 HAMPSTEAD CIR, SHREVEPORT, LA 71106-7698
(318) 272-0095
(318) 798-0607
Mailing address
9518 HAMPSTEAD CIR, SHREVEPORT, LA 71106-7698
(318) 272-0095
(318) 798-0607

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
Z10240
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z10240
LICENSE NUMBER
LA
Enumeration date
07/03/2006
Last updated
07/08/2007
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