Individual
PAIGE D BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7494 N LAKESHORE DR, SHREVEPORT, LA 71107-8575
(318) 469-3889
Mailing address
7494 N LAKESHORE DR, SHREVEPORT, LA 71107-8575
(318) 469-3889
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20100009
LA
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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