Individual
RICKY LAWAYNE OWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1455 E BERT KOUNS LOOP, #300, SHREVEPORT, LA 71105-5634
(318) 798-4554
(318) 798-4581
Mailing address
PO BOX 415000, LBX 410604, NASHVILLE, TN 37241-0604
(318) 798-4554
(318) 798-4581
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
201645
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016187
—
LA
Enumeration date
10/17/2006
Last updated
01/03/2014
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