Organization
WILLIS KNIGHTON MEDICAL CENTER INC.
Active
Other names
Larry Flake, MD
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J. GAVIN (NETWORK ADMINISTRATOR)
(318) 212-3810
Entity
Organization
Contact information
Practice address
8001 YOUREE DR, SUITE 540, SHREVEPORT, LA 71115-2302
(318) 212-3810
(318) 212-3815
Mailing address
8001 YOUREE DR, SUITE 540, SHREVEPORT, LA 71115-2302
(318) 212-3810
(318) 212-3815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/23/2006
Last updated
08/22/2020
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