Provider Demographics
NPI:1023204237
Name:COCHRAN, RANDY LEVERT (CRT)
Entity Type:Individual
Prefix:MR
First Name:RANDY
Middle Name:LEVERT
Last Name:COCHRAN
Suffix:
Gender:M
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 ROLLING MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71112-9731
Mailing Address - Country:US
Mailing Address - Phone:318-747-2065
Mailing Address - Fax:
Practice Address - Street 1:101 ROLLING MEADOW LN
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71112-9731
Practice Address - Country:US
Practice Address - Phone:318-747-2065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LACRT.LT33772278C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedCritical Care