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Organization
LIBBY ELLENT MD INTERNAL MEDICINE CLINIC
Active
Organization
LIBBY ELLENT MD INTERNAL MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ELLENT (OFFICE MANAGER)
(504) 349-6390
Entity
Organization
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE N308, MARRERO, LA 70072-3151
(504) 349-6390
(504) 349-6391
Mailing address
1111 MEDICAL CENTER BLVD, SUITE N308, MARRERO, LA 70072-3151
(504) 349-6390
(504) 349-6391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12226R
LA
Other
Enumeration date
03/20/2008
Last updated
10/15/2009
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