NPI 1619635497

Jakitha Antionette Burrell-Lott

Practitioner Transportation Broker Shreveport, LA

Practice location

Address: 9543 Leaside Way, Shreveport, LA 71118-4310
Phone: (318) 461-1414

Registered specialties

Transportation Broker Primary

Transportation Services Taxonomy 347E00000X Licence 008633137 (LA)

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Registry record

NPI: 1619635497
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Nov 2021
Record last updated: 29 Nov 2021

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.