Individual
MS. LAUREN ELIZABETH O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3100 SAMFORD AVE, SHREVEPORT, LA 71103-4239
(318) 226-3306
Mailing address
3100 SAMFORD AVE, SHREVEPORT, LA 71103-4239
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200076
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455334
—
LA
Enumeration date
06/08/2006
Last updated
02/23/2023
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