Individual
ASHOR LEWI ODISHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
131 WATERS EDGE DR, SHREVEPORT, LA 71106-7775
(318) 347-0567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4617
AR
Other
Enumeration date
07/21/2006
Last updated
11/07/2023
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