Individual
TERRI MCCALMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4800 S GRAND ST, MONROE, LA 71202-6412
(318) 362-3339
(318) 362-3336
Mailing address
4800 S GRAND ST, MONROE, LA 71202-6412
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
970661
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970661
LPN
LA
Enumeration date
05/12/2009
Last updated
05/12/2009
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