Organization
LSUHSC SHREVEPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA CRAIG MD (RESIDENT)
(337) 802-3013
Entity
Organization
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5000
Mailing address
9063 COTTAGE RIDGE DR, SHREVEPORT, LA 71106-7555
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
301988
LA
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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