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Individual

ELIZABETH THIBODEAUX BURAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
22070 HIGHWAY 59, ABITA SPRINGS, LA 70420-3606
(985) 875-2379
Mailing address
22070 HIGHWAY 59, ABITA SPRINGS, LA 70420-3606
(985) 875-2379

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06098
LA
363LF0000X
Family Nurse Practitioner
RN107286
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01776292
MS
05
2109219
LA
Enumeration date
03/10/2010
Last updated
10/08/2010
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