Individual
CHRISTOPHER SETH BASINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3341 YOUREE DR, SHREVEPORT, LA 71105-2149
(318) 219-4167
Mailing address
3341 YOUREE DR, SHREVEPORT, LA 71105-2149
(318) 219-4167
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290002
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/20/2018
Last updated
07/29/2019
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