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Contact Information

PEGASUS HEALTH SERVICES LOUSIANA LLC
8660 FERN AVE
STE 120
SHREVEPORT, LA71105-5649
 Phone: 903-487-2248
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PEGASUS HEALTH SERVICES LOUSIANA LLC · (Female)

NPI Number 1093264509
Status Active
Credentials
Entity Individual
Enumeration date 09/26/2016
Last updated 09/26/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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