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Individual

ELIZABETH BONFANTI CURTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8119 PICARDY AVE, BATON ROUGE, LA 70809-3515
(225) 765-3076
(225) 765-1076
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022589
LA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
022589
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080139833
RAILROAD MEDICARE
LA
05
1490008
LA
01
249444YJXR
MEDICARE PTAN
LA
Enumeration date
07/05/2005
Last updated
05/20/2022
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