Individual
ADRIANE BROOK LAZENBY NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1434 HAWN AVE, SHREVEPORT, LA 71107-6508
(318) 399-4833
Mailing address
1434 HAWN AVE, SHREVEPORT, LA 71107-6508
(318) 399-4833
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
LA
Enumeration date
11/29/2020
Last updated
11/29/2020
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