Wk Swan Lake Diabetes & Endocrinology
Internal Medicine, Endocrinology, Diabetes & Metabolism in Bossier City, LA. Organization (NPI-2).
NPI number1326730573
StatusActive
Last updated in NPPESMay 25, 2023
Details
- NPI
- 1326730573
- Entity type
- Organization (NPI-2)
- Legal business name
- Wk Swan Lake Diabetes & Endocrinology
- Organization subpart
- No
- Enumeration date
- May 25, 2023
- Certification date
- May 16, 2023
- Last updated
- May 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | – | – | Yes |
Practice location
5341 Airline DriveSuite 100
Bossier City, LA 71111
Phone 318-935-1810 · Fax 318-935-1867
Mailing address
5341 Airline DriveSuite 100
Bossier City, LA 71111
Phone 318-935-1810 · Fax 318-935-1867
Authorized official
Mary Jane Ward
Sr. Vp Finance
3187164937
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Other Endocrinology, Diabetes & Metabolism Physician providers in Bossier City, LA
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All 6 Endocrinology, Diabetes & Metabolism Physician providers in Bossier City · All 1,861 providers in Bossier City
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