Individual
KAREN LILLICH BERKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 HOSPITAL DR STE 240, BOSSIER CITY, LA 71111-2390
(318) 212-7931
(318) 212-7935
Mailing address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-8951
(318) 212-6752
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.308473
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2357964
—
LA
Enumeration date
04/24/2014
Last updated
06/17/2021
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