NPI 1659318517

Life Air Rescue

Organisation Air Ambulance Shreveport, LA

Practice location

Address: 1 Saint Mary Pl, Shreveport, LA 71101-4343
Phone: (318) 681-4610
Mailing address: PO Box 37103, Shreveport, LA 71133-7103

Authorised official

Name: Pam Anderson
Title: Chief Flight Nurse
Phone: (318) 681-4610

Registered specialties

Air Ambulance Primary

Transportation Services Taxonomy 3416A0800X Licence 9110026 (LA)

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Registry record

NPI: 1659318517
Entity type: Organization
NPI issued: 1 Jun 2006
Record last updated: 22 Aug 2020

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.