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Individual

SUMMER CONE HANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2508 BERT KOUNS INDUSTRIAL LOOP STE 311, SHREVEPORT, LA 71118-3133
(318) 212-5764
Mailing address
900 AW DR, STONEWALL, LA 71078-9668
(318) 218-6470

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN143398
LA
363L00000X
Nurse Practitioner
Primary
227156
LA

Other

Enumeration date
11/18/2021
Last updated
12/08/2022
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