Individual
JUANITA COKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1541 KINGS HWY, ATTN: PAYOR CREDENTIALING, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD.025002
LA
2080P0201X
Pediatric Allergy/Immunology Physician
A162224
CA
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
MD.025002
LA
Other
Enumeration date
03/14/2016
Last updated
03/12/2026
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