DIABETIC LIFE PULSE OF LOUISIANA LLC NPI 1568714442

NPI Information

DIABETIC LIFE PULSE OF LOUISIANA, LLC is a general practice in Shreveport, LA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DIABETIC LIFE PULSE OF LOUISIANA, LLC NPI is 1568714442. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8575 FERN AVE STE 110
SHREVEPORT, LA
ZIP 71105-677
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) 286-3296.

The enumeration date for this NPI number is 10/3/2012 and was last updated on 4/4/2013.

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:

Other Identifiers

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