MS. Lisa Nicole Kellogg, CRNA
NPI #1013258896 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1013258896
- Entity Type
- Individual
- Name
- MS. Lisa Nicole Kellogg, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Mar 4, 2013
- Last Updated
- Sep 9, 2016
Practice Location
- Address
- 1541 KINGS HWY
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71103-4228
- Phone
- (318) 675-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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