| Diabetic Life Pulse Of Louisiana, Llc | |
|
8575 Fern Ave Ste 110 Shreveport LA 71105-5677 | |
| (318) 698-8889 | |
| (318) 698-8893 |
| Full Name | Diabetic Life Pulse Of Louisiana, Llc |
|---|---|
| Speciality | General Practice |
| Location | 8575 Fern Ave Ste 110, Shreveport, Louisiana |
| Authorized Official Name and Position | Deborah K Adcock (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3182863296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetic Life Pulse Of Louisiana, Llc 8575 Fern Ave Ste 110 Shreveport LA 71105-5677 Ph: (318) 698-8889 | Diabetic Life Pulse Of Louisiana, Llc 8575 Fern Ave Ste 110 Shreveport LA 71105-5677 Ph: (318) 698-8889 |
| NPI Number | 1568714442 |
|---|---|
| Provider Enumeration Date | 10/03/2012 |
| Last Update Date | 04/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568714442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 08006R (Louisiana) | Primary |
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