Lisa Dupree
NPI #1063816304 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1063816304
- Entity Type
- Individual
- Name
- Lisa Dupree
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 15, 2014
- Last Updated
- Oct 15, 2014
Practice Location
- Address
- 7655 GRIMM RD
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71107-3450
- Phone
- (337) 501-6055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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