Individual
PHYLLIS LALENA BELK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1080 SPRINGWOOD LN, SHREVEPORT, LA 71107-8356
(318) 564-1202
Mailing address
1080 SPRINGWOOD LN, SHREVEPORT, LA 71107-8356
(318) 564-1202
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
082217
LA
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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