SearchLouisiana163WH1000X

Dianna Fort

NPI 1487365599 · on the registry since 2022 · sole proprietor

Practice

Address
246 Atlantic Ave
Shreveport, LA 71105
Phone
(318) 294-6337

Registry record

Primary taxonomy
163WH1000X
163WH1000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-09

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