Individual
DR. MARY LOWERY NORDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2915 MISSOURI AVE, SHREVEPORT, LA 71109-4327
(318) 621-8820
(318) 212-4189
Mailing address
802 ERIE ST, SHREVEPORT, LA 71106-1506
(318) 393-4089
(318) 681-4657
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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