Individual
CLAIRE HERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8383 MILLICENT WAY STE B, SHREVEPORT, LA 71115-5207
(318) 631-9121
(318) 213-6246
Mailing address
3217 MABEL ST, SHREVEPORT, LA 71103-4022
(183) 631-9121
(318) 629-1445
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
339129
LA
Other
Enumeration date
10/13/2023
Last updated
03/05/2025
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