Individual
ELIZABETH KAY PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4429 CLARA ST, SUITE 600A, NEW ORLEANS, LA 70115-6902
(504) 371-0071
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
206015
LA
208800000X
Urology Physician
Primary
MD.206015
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00508323
—
MS
05
—
2341103
—
LA
Enumeration date
06/12/2008
Last updated
09/28/2015
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