Organization
OVERTON BROOKS VAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAKISHIA LEWIS GRIDER N.P. (ACUTE CARE NURSE PRACTITIONER)
(318) 221-8411
Entity
Organization
Contact information
Practice address
200 HARTWELL RD, MINDEN, LA 71055-6365
(318) 707-5088
Mailing address
200 HARTWELL ROAD, MINDEN, LA 71055
(318) 707-5088
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
006290999
LA
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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