Individual
DONALD SHANE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-7109
Mailing address
3000 34TH ST, METAIRIE, LA 70001-2016
(504) 834-2062
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
079858
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396281
—
LA
Enumeration date
01/09/2009
Last updated
03/26/2009
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