Individual
DR. LAITH KAMEL QAISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 YOUREE DR, SHREVEPORT, LA 71105-2116
(318) 869-3453
(318) 869-0784
Mailing address
3300 YOUREE DR, SHREVEPORT, LA 71105-2116
(318) 869-3453
(318) 869-0784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18858
LA
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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