Individual
LORI TOLOSO KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDDA
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
10454 LINWOOD AVE, SHREVEPORT, LA 71106-7965
(318) 277-0309
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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