Individual
LATASHA HUNTER-LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8939 JEWELLA AVE STE 116, SHREVEPORT, LA 71118-2137
(318) 518-8968
Mailing address
11115 SANDWOOD DR, KEITHVILLE, LA 71047-8345
(318) 518-8968
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780382457
CLINICAL LABORATORY
—
Enumeration date
02/23/2023
Last updated
02/23/2023
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