Individual
LAKENYA LYRSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1800 LINE AVE, SHREVEPORT, LA 71101-4612
(318) 677-3100
Mailing address
462 APACHE TRL, SHREVEPORT, LA 71107-5412
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
235902
LA
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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