Icp Louisiana Aco Billing LLC
NPI #1043894231 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1043894231
- Entity Type
- Organization
- Organization Name
- Icp Louisiana Aco Billing LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- May 12, 2021
- Last Updated
- Nov 11, 2025
Practice Location
- Address
- 333 TEXAS ST STE 1300
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71101-3783
- Phone
- (800) 807-6555
Authorized Official
- Name
- MARGARET S PEMBERTON
- Title
- VICE PRESIDENT
- Phone
- (502) 394-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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