Individual
DR. THERESA LYNN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
722 PHOSPHOR AVE, METAIRIE, LA 70005-2727
(504) 835-3736
(504) 832-8149
Mailing address
722 PHOSPHOR AVE, METAIRIE, LA 70005-2727
(504) 835-3736
(504) 832-8149
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1236
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0272105
CIGNA
LA
01
—
7208303
AETNA
LA
01
—
721516927-B
HUMANA
LA
01
—
G1381
BLUE CROSS
LA
Enumeration date
03/17/2006
Last updated
07/08/2007
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