SearchLouisiana101YM0800X

Larry Wilson

NPI 1750869285 · on the registry since 2018 · sole proprietor

Practice

Address
6224 N Inwood Rd
Shreveport, LA 71119
Phone
(318) 453-0447

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2018-08-06

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