ALLISON DERISE, MD

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1063162626

Practice Address

1501 KINGS HWY
Shreveport, LA 71103

Phone: (318) 626-4335

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1063162626 is the National Provider Identifier for ALLISON DERISE, MD, a Student in an Organized Health Care Education/Training Program provider located in Shreveport, LA. This NPI was enumerated on March 26, 2022.
ALLISON DERISE, MD practices at 1501 KINGS HWY, Shreveport, LA 71103.

Quick Facts

NPI
1063162626
Type
Individual
Enumerated
Mar 26, 2022
Last Updated
Jun 21, 2025

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