Whalio Doctors

NPI 1013497114

Cross Lake Emergency Group, LLC

Organisation Emergency Medicine Physician Shreveport, LA

Practice location

Address
2600 Greenwood Rd, Shreveport, LA 71103-3908
Phone
(318) 212-4000
Mailing address
200 Corporate Blvd, Lafayette, LA 70508-3870

Authorised official

Name
Lisha C Falk
Title
Vp of Contracting
Phone
(337) 609-1221

Registered specialties (3)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Registry record

NPI
1013497114
Entity type
Organization
NPI issued
17 Aug 2018
Record last updated
23 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.