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Individual

EMILY ELIZABETH MONTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
200 W ESPLANADE AVE, STE 210, KENNER, LA 70065-2489
(504) 464-8588
(504) 464-8586
Mailing address
2051 SILVERSIDE DR, SUITE 260, BATON ROUGE, LA 70808-9005
(225) 490-6301
(225) 765-9539

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200834
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06801502
MS
05
2401033
LA
Enumeration date
06/11/2015
Last updated
10/31/2016
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