Individual
MR. LARRY DAVID ALLEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP-BC
Contact information
Practice address
2000 CRESWELL AVE, SHREVEPORT, LA 71104-2202
(318) 553-0560
(866) 660-1738
Mailing address
2000 CRESWELL AVE, SHREVEPORT, LA 71104-2202
(318) 553-0560
(866) 607-1738
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP08705
LA
Other
Enumeration date
02/29/2016
Last updated
03/20/2023
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