Individual
ELIZABETH JANE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 W GAUTHIER RD, LAKE CHARLES, LA 70605-7170
(337) 480-7056
Mailing address
3561 E CABELLA DR, SULPHUR, LA 70665-8762
(337) 794-9112
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
AP06839
LA
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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