Individual
ELISHA DIANNE CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2915 FITZENRIETER RD, LAKE CHARLES, LA 70615-1314
(281) 352-1202
Mailing address
2915 FITZENRIETER RD, LAKE CHARLES, LA 70615-1314
(281) 352-1202
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292442
LA
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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