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Individual

LAURA BIRDWELL PERKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
8001 YOUREE DR, SUITE 450, SHREVEPORT, LA 71115-2302
(318) 212-3952
(318) 212-3955
Mailing address
8001 YOUREE DR, SUITE 450, SHREVEPORT, LA 71115-2302
(318) 212-3952
(318) 212-3955

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03100
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1559318
LA
Enumeration date
07/06/2006
Last updated
12/18/2007
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