Individual
PETER N VLAHAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4000
Mailing address
643 MONROVIA ST, SHREVEPORT, LA 71106-1611
(318) 868-4709
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN042529 APO1669
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1900192
—
LA
Enumeration date
03/17/2006
Last updated
10/08/2008
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