NPI 1063816304

Lisa Dupree

Practitioner Specialist Shreveport, LA

Practice location

Address: 7655 Grimm Rd, Shreveport, LA 71107-3450
Phone: (337) 501-6055
Mailing address: PO Box 222, Oil City, LA 71061-0222

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 00743 (LA)

Other Specialist providers in Louisiana →

Registry record

NPI: 1063816304
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2014
Record last updated: 15 Oct 2014

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.