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Individual

LAWRENCE EDWARD MOSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
020503
LA
207RI0011X
Interventional Cardiology Physician
Primary
020503
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1904015
LA
Enumeration date
07/16/2006
Last updated
01/07/2026
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