Northwest La Incs, Llc Valid NPI
Organization · Point of Service · Shreveport, LA
- NPI
- 1700901683
- Type
- Organization (Type 2)
- Primary specialty
- Point of Service
- Specialty group
- Managed Care Organizations
- Taxonomy code
- 305S00000X
- License number
- 11761 (LA)
- Enumerated
- 2007-03-20
- Last updated
- 2020-08-22
Practice location
4111 Metro Dr
Shreveport, LA 71109-6001
(318) 636-0390