Individual
LISE M HUDDLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8001 YOUREE DR STE 600, SHREVEPORT, LA 71115-2345
(318) 212-3890
(318) 212-3888
Mailing address
8001 YOUREE DR STE 600, SHREVEPORT, LA 71115-2345
(318) 212-3890
(318) 212-3888
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
308274
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2014
Last updated
09/03/2021
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