Individual
LAURIE CRNKOVIC SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1453 E BERT KOUNS INDUSTRIAL LOOP, SUITE 221, SHREVEPORT, LA 71105-6800
(318) 681-5240
(318) 681-5241
Mailing address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP07078
LA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP07078
LA
Other
Enumeration date
10/04/2012
Last updated
06/21/2024
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