Organization
SHREVEPORT GERIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE J. DREXLER M.D. (PRESIDENT)
(318) 222-8187
Entity
Organization
Contact information
Practice address
850 MARGARET PL, SHREVEPORT, LA 71101-4521
(318) 222-8187
(318) 227-0437
Mailing address
850 MARGARET PL, SHREVEPORT, LA 71101-4521
(318) 222-8187
(318) 227-0437
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1448320
—
LA
Enumeration date
06/10/2006
Last updated
08/22/2020
Update your record
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