Individual
ELIZABETH ANNE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 EVANGELINE PL, SHREVEPORT, LA 71106-2313
(318) 553-2006
Mailing address
415 EVANGELINE PL, SHREVEPORT, LA 71106-2313
(318) 553-2006
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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