Individual
CHARLES MARION LOBRANO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 LINE AVE STE 100, SHREVEPORT, LA 71101-4644
(318) 635-3052
(318) 635-3072
Mailing address
1534 ELIZABETH AVE STE 301, SHREVEPORT, LA 71101-4531
(318) 629-5001
(318) 629-5020
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
301792
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2010
Last updated
07/21/2022
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