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Individual

CYNTHIA D EMERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2495 SHREVEPORT HWY # 71, PINEVILLE, LA 71360-4044
(318) 466-2657
Mailing address
2495 SHREVEPORT HWY # 71, PINEVILLE, LA 71360-4044
(318) 466-2657

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A10384
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2152297
LA
01
5F600P715
MEDICARE - PTAN
LA
Enumeration date
02/26/2007
Last updated
02/23/2016
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