| Larry Flake, MD | |
|
8001 Youree Dr Suite 540 Shreveport LA 71115-2302 | |
| (318) 212-3810 | |
| (318) 212-3815 |
| Full Name | Larry Flake, MD |
|---|---|
| Speciality | Family Medicine |
| Location | 8001 Youree Dr, Shreveport, Louisiana |
| Authorized Official Name and Position | Greg J. Gavin (NETWORK ADMINISTRATOR) |
| Authorized Official Contact | 3182123810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Flake, MD 8001 Youree Dr Suite 540 Shreveport LA 71115-2302 Ph: (318) 212-3810 | Larry Flake, MD 8001 Youree Dr Suite 540 Shreveport LA 71115-2302 Ph: (318) 212-3810 |
| NPI Number | 1457387508 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457387508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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