MEDICARE: LADARIUS TURER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172A00000X	Driver		LA

General Provider Information

NPI Number	:	1962336289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LADARIUS TURER

Provider Business Mailing Address
First Line	:	491 DIXON ST
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71106-7808
Country	:	US
Telephone Number	:	318-458-2666
Fax Number	:

Provider Business Practice Location Address
First Line	:	491 DIXON ST
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71106-7808
Country	:	US
Telephone Number	:	318-458-2666
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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Directions to “ LADARIUS TURER ” Practice Location

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