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Search › Louisiana › 225X00000X

Crystal Waltower, LOTR

NPI 1386119717 · on the registry since 2018

Practice

Address
403 E Flournoy Lucas Rd
Shreveport, LA 71115
Phone
(318) 798-3500
Organisation at this address
The Glen Retirement System
The Glen Retirement System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-10-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana