Individual provider · Type 1 NPI

Lateisha T. Douglas

Driver · Shreveport, LA

NPI number 1912640657 Active

Practice location

3045 Hoyte Dr
Shreveport, LA 71118-2407

Call (318) 344-4999 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1912640657

Lateisha T. Douglas's National Provider Identifier is 1912640657, issued on Apr 20, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Shreveport, LA. The record was last updated on Apr 20, 2022.