# ELISE SCALLAN MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PATRICIA ELISE SCALLAN, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396068318
- **Authorized official:** JUDY WHEAT (ADMINISTRATION)
- **Authorized official phone:** (225) 767-7200

## Contact information

- **Practice address:** 8080 BLUEBONNET BLVD, SUITE 2121, BATON ROUGE, LA 70810-7827
- **Practice address phone:** (225) 767-7200
- **Practice address fax:** (225) 767-7386
- **Mailing address:** 8080 BLUEBONNET BLVD, SUITE 2121, BATON ROUGE, LA 70810-7827
- **Mailing address phone:** (225) 767-7200
- **Mailing address fax:** (225) 767-7386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 023856 | LA | Yes |

## Other

- **Enumeration date:** 03/04/2010
- **Last updated:** 07/19/2010