Christopher Seth Basinger, LPN
Licensed Practical Nurse in Shreveport, LA. Individual provider (NPI-1).
NPI number1871077388
StatusActive
Last updated in NPPESJul 29, 2019
Details
- NPI
- 1871077388
- Entity type
- Individual (NPI-1)
- Name
- Christopher Seth Basinger
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2018
- Last updated
- Jul 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 290002 | LA | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
3341 Youree DrShreveport, LA 71105-2149
Phone 318-219-4167
Mailing address
3341 Youree DrShreveport, LA 71105-2149
Phone 318-219-4167
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