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Contact Information

IN BETWEEN PCP AND MED-SPA INC
1732 LAKEFRONT DR
SHREVEPORT, LA71119-3925
 Phone: 318-294-8519
 Fax: 318-294-8519
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Health Service

261QH0100X
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for IN BETWEEN PCP AND MED SPA INC · (Female)

NPI Number 1326836958
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2025
Last updated 04/25/2025 - More than a year 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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