Individual
NICOLETTE DOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(313) 212-4000
Mailing address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
340447
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
06/12/2024
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