Individual
DR. ELIZABETH ANN COGBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVENUEE, LA CROSSE, WI 54601
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53575-20
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
53575
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174628689
—
WI
Enumeration date
09/13/2006
Last updated
07/21/2022
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