Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Connor Roan

Individual provider Medical Laboratory Technician · NPI 1902538663

Connor Roan is a Medical Laboratory Technician in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2022
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Practice location Address checks out

510 E Stoner Ave
Shreveport, LA 71101-4243
Phone: (318) 221-8411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Laboratory Technician (primary) Taxonomy 246RM2200X · Licence 327785 (LA)

Record details

NPI number1902538663
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 29, 2022
Last updated in NPPESJune 29, 2022
Certification dateJune 29, 2022

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