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METABOLIC HEALTH RESTORATION NPI 1144638149


NPI Information

NPI: 1144638149
Provider Name: METABOLIC HEALTH RESTORATION

Former Legal Business Name: DIABETIC LIFE PULSE OF LOUISIANA, LLC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
8575 FERN AVE
SUITE 110
SHREVEPORT, LA
ZIP 71105
Phone: (318) 698-8889
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METABOLIC HEALTH RESTORATION is a specialist in Shreveport, LA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. METABOLIC HEALTH RESTORATION NPI is 1144638149. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Diabetic Life Pulse Of Louisiana, Llc.

The provider's business location address is:

8575 FERN AVE
SUITE 110
SHREVEPORT, LA
ZIP 71105-676
Phone: (318) 698-8889
Fax: (318) 698-8893

The provider's authorized official is Deborah K Adcock .
The authorized official title is Medical Director and has the following contact phone number (318) 698-8889.

The enumeration date for this NPI number is 7/23/2014 and was last updated on 7/23/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistC12615LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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