Individual
JOYCE LANELL BLADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5737 YOUREE DR, SHREVEPORT, LA 71105-4216
(318) 219-4155
Mailing address
5750 JOHNSTON ST STE 502, LAFAYETTE, LA 70503-5334
(337) 417-9200
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012440028
DRIVER'S LICENSE
LA
Enumeration date
11/17/2021
Last updated
03/25/2022
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