Organization
ST. ELIZABETH IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOLORES N LEJEUNE (PRESIDENT)
(225) 647-5071
Entity
Organization
Contact information
Practice address
17609 OLD JEFFERSON HWY, SUITE B, PRAIRIEVILLE, LA 70769-3979
(225) 647-5071
Mailing address
1125 W HIGHWAY 30, GONZALES, LA 70737-5004
(225) 647-5000
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
LA
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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