Individual
NATALIE MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2120 BERT KOUN LOOP STE A, SHREVEPORT, LA 71118-3351
(318) 688-3350
(318) 300-4439
Mailing address
2120 BERT KOUN LOOP STE A, SHREVEPORT, LA 71118-3351
(318) 688-3350
(318) 300-4439
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
025768
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-01024
UNITED HEALTHCARE
—
05
—
1578568
—
LA
01
—
7405350
AETNA
—
Enumeration date
09/02/2005
Last updated
06/17/2019
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