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
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