Individual
LAURA OURSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 E WASHINGTON ST, SHREVEPORT, LA 71104-3544
(318) 402-5443
Mailing address
218 E WASHINGTON ST, SHREVEPORT, LA 71104-3544
(318) 402-5443
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
G4308
LA
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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