Individual
ELIZABETH GRACE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5717 LAKE SIDE DR, BOSSIER CITY, LA 71111-5509
(318) 423-1063
Mailing address
5717 LAKE SIDE DR, BOSSIER CITY, LA 71111-5509
(318) 423-1063
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
208740
LA
363LA2100X
Acute Care Nurse Practitioner
Primary
431659
NY
Other
Enumeration date
12/17/2019
Last updated
08/09/2023
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