Healthcare Provider Details

I. General information

NPI: 1447369111
Provider Name (Legal Business Name): LOU H PARKER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 4TH ST BOX 30124
ALEXANDRIA LA
71301-8423
US

IV. Provider business mailing address

46 RAGAN DR
ALEXANDRIA LA
71303-2260
US

V. Phone/Fax

Practice location:
  • Phone: 318-445-9823
  • Fax: 318-449-7348
Mailing address:
  • Phone: 318-448-0537
  • Fax: 318-445-7041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP05012
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: