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Search › Louisiana › 183500000X

Harrison Park

NPI 1497327555 · on the registry since 2021

Practice

Address
4430 Desiard St
Monroe, LA 71203
Phone
(318) 267-3609
Fax
(318) 267-3610
Organisation at this address
Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
LA, AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-29

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