| Wk Pierremont Endocrine Center | |
|
1811 E Bert Koun Loop Suite 480 Shreveport LA 71105-5740 | |
| (318) 212-2810 | |
| (318) 212-2818 |
| Full Name | Wk Pierremont Endocrine Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 1811 E Bert Koun Loop, Shreveport, Louisiana |
| Authorized Official Name and Position | Greg J Gavin (NETWORK ADMINISTRATOR) |
| Authorized Official Contact | 3182128780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Pierremont Endocrine Center 1811 E Bert Koun Loop Suite 480 Shreveport LA 71105-5740 Ph: (318) 212-2810 | Wk Pierremont Endocrine Center 1811 E Bert Koun Loop Suite 480 Shreveport LA 71105-5740 Ph: (318) 212-2810 |
| NPI Number | 1265840268 |
|---|---|
| Provider Enumeration Date | 07/23/2014 |
| Last Update Date | 07/23/2014 |
| Medicare PECOS PAC ID | 1355664350 |
|---|---|
| Medicare Enrollment ID | O20141224000462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265840268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Lyubov Olenina |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699043687 PECOS PAC ID: 2769705417 Enrollment ID: I20150105000336 |
Hs Louisiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Suite 5-303, Shreveport, LA 71103 Phone: 904-834-2679 Fax: 904-395-3249 | |
Wk Digestive Disease Consultants Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2508 Bert Koun Loop, Sutie 304, Shreveport, LA 71118 Phone: 318-671-8880 Fax: 318-671-8879 | |
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