Entity Information

LSU HEALTH SCIENCES CENTER-SHREVEPORT FACULTY GROUP PRACTICE, A LOUISIANA NONPROFIT CORPORATION

Active
UEI CAGE Website
KBR7DLNHJZQ9 92G23

Addresses

Physical Address
1541 KINGS HWY
SHREVEPORT, LA 71103
UNITED STATES OF AMERICA
Mailing Address
PO BOX 11407 DEPT 2660
BIRMINGHAM, AL 35246
UNITED STATES OF AMERICA

Business Type

NON-PROFIT ORGANIZATION

NAICS Codes

Code
Description
OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS (PRIMARY NAICS)

Contacts

Type
Person
PRIMARY
PATRICK BICKNELL
ALTERNATE
SHANNON PHAGAN
ELECTRONIC
SHANNON PHAGAN
Notification