Organization
LIBBY ELLENT MD INTERNAL MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ELLENT (OFFICE MANAGER)
(504) 349-6390
Entity
Organization
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE N308, MARRERO, LA 70072-3151
(504) 349-6390
(504) 349-6391
Mailing address
1111 MEDICAL CENTER BLVD, SUITE N308, MARRERO, LA 70072-3151
(504) 349-6390
(504) 349-6391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12226R
LA
Other
Enumeration date
03/20/2008
Last updated
10/15/2009
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