| Wellness Pass By Luraguiz Md | |
|
1534 Elizabeth Ave Ste 401 Shreveport LA 71101-4531 | |
| (318) 431-8613 | |
| (318) 314-2203 |
| Full Name | Wellness Pass By Luraguiz Md |
|---|---|
| Speciality | Family Medicine |
| Location | 1534 Elizabeth Ave Ste 401, Shreveport, Louisiana |
| Authorized Official Name and Position | Natalia Luraguiz (OWNER) |
| Authorized Official Contact | 3184268351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Pass By Luraguiz Md 1534 Elizabeth Ave Ste 401 Shreveport LA 71101-4531 Ph: (318) 431-8613 | Wellness Pass By Luraguiz Md 1534 Elizabeth Ave Ste 401 Shreveport LA 71101-4531 Ph: (318) 431-8613 |
| NPI Number | 1265138226 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 06/24/2023 |
| Medicare PECOS PAC ID | 4385000165 |
|---|---|
| Medicare Enrollment ID | O20230522000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265138226 | NPI | - | NPPES |
| 19D1055958 | Other | LA | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Natalia Luraguiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639465065 PECOS PAC ID: 3577787076 Enrollment ID: I20200721004403 |
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