Individual
LLOYD VALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 PANTHEON LN, SHREVEPORT, LA 71115-4506
(318) 789-0596
Mailing address
111 PANTHEON LN, SHREVEPORT, LA 71115-4506
(318) 789-0596
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07484F
LA
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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