Dr. Terry Lairmore M.D.
Surgical Oncology Physician in Shreveport, LA(View on Map)
Full Name
Dr. Terry Lairmore M.D.
NPI Number
1083674949
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/24/2006
Specialties
(Taxonomies)Licenses
State
Louisiana
Texas
License Number
321853
M1193
Contact
Information
Purpose
Mailing
Location
Address
1512 W KIRBY PL
1541 KINGS HWY
City
Shreveport
Shreveport
State
LA
LA
Postal Code
71103-3822
71103-4228
Country
US
US
Telephone Number
(318) 626-0287
(318) 626-0000
Identifiers
Identifier
1728842-02
8S0392
1728842-01
Identifier State
TX
TX
TX
Identifier Issuer
CSHCN
BLUE SHIELD
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/23/2023
Provider Address
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