Individual
JEREMY BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2107 HONOR ST STE C, MONROE, LA 71201-3649
(318) 350-3513
Mailing address
2107 HONOR ST STE C, MONROE, LA 71201-3649
(318) 350-3513
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/06/2024
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