Individual
JANE DRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2495 SHREVEPORT HWY # 113, PINEVILLE, LA 71360-4044
(318) 466-2312
(318) 466-2312
Mailing address
2495 SHREVEPORT HWY # 113, PINEVILLE, LA 71360-4044
(318) 466-2312
(318) 483-5077
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
015778
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124443
—
LA
Enumeration date
08/08/2006
Last updated
09/12/2023
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