Individual
DR. ELIZABETH A CLUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4864 BLUEBONNET BLVD, SUITE A, BATON ROUGE, LA 70809-9644
(225) 766-7771
(225) 766-7995
Mailing address
4864 BLUEBONNET BLVD, SUITE A, BATON ROUGE, LA 70809-9644
(225) 766-7771
(225) 766-7995
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.11291R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1664278
—
LA
Enumeration date
05/29/2008
Last updated
05/29/2008
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