Individual
NAINA BOUCHEREAU-LAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6841 FERN AVE STE 100, SHREVEPORT, LA 71105-4175
(318) 626-4200
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
329737
LA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
329737
LA
Other
Enumeration date
06/01/2017
Last updated
04/02/2026
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