Organization
FOOT AND ANKLE CENTER LLC
Active
Organization
FOOT AND ANKLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE LEA ELLIOTT DMP (PRESIDENT)
(504) 349-6633
Entity
Organization
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE N507, MARRERO, LA 70072-3151
(504) 349-6633
(504) 349-6631
Mailing address
1111 MEDICAL CENTER BLVD, #N-507, MARRERO, LA 70072-3151
(504) 349-6633
(504) 349-6631
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PD228R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007796175
AETNA
LA
01
—
106425
COVENTRY
LA
05
—
1443786
—
LA
Enumeration date
03/30/2007
Last updated
04/25/2008
Update your record
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