Provider First Line Business Practice Location Address:
WILLIS KNIGHTON HEALTH OMFS ATTN: VALORIE LURRY
Provider Second Line Business Practice Location Address:
2508 BERT KOUNS INDUSTRIAL LOOP, SUITE 403
Provider Business Practice Location Address City Name:
SHREVEPORT
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-212-5259
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/21/2025