Individual
BRUCE LAMAR ADDISON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 TOWER DR STE B, MONROE, LA 71201-5045
(318) 570-5400
(318) 323-1400
Mailing address
2101 TOWER DR STE B, MONROE, LA 71201-5045
(318) 570-5400
(318) 323-1400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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