Individual provider · Type 1 NPI

Julie Vanderlick Harrison, PA

Surgical Physician Assistant · Shreveport, LA

NPI number 1144510397 Active

Practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Fax (318) 675-7531

Mailing address

PO Box 33932
Shreveport, LA 71130-3932

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X200406 (LA)

Surgical Physician Assistant: Definition to come...

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About NPI 1144510397

Julie Vanderlick Harrison, PA's National Provider Identifier is 1144510397, issued on Apr 8, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Shreveport, LA. The record was last updated on Jun 16, 2015.