Organization
DIABETIC LIFE PULSE OF LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH K ADCOCK MD (MEDICAL DIRECTOR)
(318) 286-3296
Entity
Organization
Contact information
Practice address
8575 FERN AVE STE 110, SHREVEPORT, LA 71105-5677
(318) 698-8889
(318) 698-8893
Mailing address
8575 FERN AVE STE 110, SHREVEPORT, LA 71105-5677
(318) 698-8889
(318) 698-8893
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
08006R
LA
Other
Enumeration date
10/03/2012
Last updated
04/04/2013
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