Organization
ELIZABETH LE,DPM,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LE DPM (PODIATRIST/OWNER)
(225) 667-6497
Entity
Organization
Contact information
Practice address
1524 S RANGE AVE, DENHAM SPRINGS, LA 70726-5218
(225) 667-6497
(225) 791-3899
Mailing address
1524 S RANGE AVE, DENHAM SPRINGS, LA 70726-5218
(225) 667-6497
(225) 791-3899
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PD173R
LA
335E00000X
Prosthetic/Orthotic Supplier
PD173R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1246390002
PTAN
LA
Enumeration date
03/27/2015
Last updated
03/27/2015
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