National Provider Identifier Database

LSUHSC SHREVEPORT
Children


Contact Information

LSUHSC SHREVEPORT
1501 KINGS HWY
SHREVEPORT, LA71103-4228
Phone: 318-675-5000
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for LSUHSC SHREVEPORT

NPI Number 1992156590
Legal business name
LBN
LSUHSC SHREVEPORT
Authorized official ANNA CRAIG - (RESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/24/2016
Last updated 06/24/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 301988

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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